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Packagehl7.fhir.uv.xver-r4b.r5
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-09-13T16:53:06.018-04:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ImplementationGuide-hl7.fhir.uv.xver-r4b.r5",
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        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.xver-r4b.r5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 598650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'no-expansions-files' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r4b.r5: ImplementationGuide.definition.parameter[17].code.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 598762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'no-ig-database' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '0.7.1'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r4b.r5: ImplementationGuide.definition.parameter[18].code.code"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 603444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.xver-r4b.r5: ImplementationGuide"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ActivityDefinition.location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-ActivityDefinition.location",
        "issue": [
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ActivityDefinition.location: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ActivityDefinition.location vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ActivityDefinition.location"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ActivityDefinition.location"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ActivityDefinition.oRR",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-ActivityDefinition.oRR",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18493
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ActivityDefinition.oRR: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ActivityDefinition.oRR vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ActivityDefinition.observationResultRequirement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ActivityDefinition.oRR"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ActivityDefinition.observationRequirement",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18753
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ActivityDefinition.observationRequirement vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ActivityDefinition.observationRequirement"
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ActivityDefinition.observationRequirement"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ActivityDefinition.specimenRequirement",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ActivityDefinition.specimenRequirement: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ActivityDefinition.specimenRequirement vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ActivityDefinition.specimenRequirement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ActivityDefinition.specimenRequirement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ActivityDefinition.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-ActivityDefinition.subject",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26813
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ActivityDefinition.subject: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ActivityDefinition.subject vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ActivityDefinition.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ActivityDefinition.subject"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ActivityDefinition.timing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-ActivityDefinition.timing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28659
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ActivityDefinition.timing: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ActivityDefinition.timing vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ActivityDefinition.timing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ActivityDefinition.timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AdverseEvent.contributor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AdverseEvent.contributor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-AdverseEvent.contributor: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AdverseEvent.contributor vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.contributor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AdverseEvent.contributor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AdverseEvent.outcome",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-AdverseEvent.outcome: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AdverseEvent.outcome vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AdverseEvent.outcome"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AdverseEvent.referenceDocument",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AdverseEvent.referenceDocument",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17564
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-AdverseEvent.referenceDocument: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AdverseEvent.referenceDocument vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.referenceDocument"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AdverseEvent.referenceDocument"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AdverseEvent.severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AdverseEvent.severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19553
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-AdverseEvent.severity: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AdverseEvent.severity vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AdverseEvent.severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AdverseEvent.severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AdverseEvent.su.causality",
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        "resourceType": "OperationOutcome",
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        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69495
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "code": "business-rule",
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            "code": "business-rule",
            "details": {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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          }
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Appointment.serviceType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Appointment.serviceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Appointment.serviceType"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Attachment.size",
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Attachment.size vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Attachment.size"
            },
            "expression": [
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          }
        ]
      }
    },
    {
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              },
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.ag.altId vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.agent.altId"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.ag.media",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AuditEvent.ag.media",
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.ag.media vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.agent.media"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.ag.name",
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        "resourceType": "OperationOutcome",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.ag.name: StructureDefinition"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.ag.name vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.agent.name"
            },
            "expression": [
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.ag.network",
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        "id": "StructureDefinition-ext-R4B-AuditEvent.ag.network",
        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.ag.network vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.agent.network"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.ag.network"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.de.type",
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AuditEvent.en.de.type",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17868
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.de.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.detail.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.en.de.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.description",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AuditEvent.en.description",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.en.description: StructureDefinition"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.description vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.description"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.en.description"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.lifecycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AuditEvent.en.lifecycle",
        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.en.lifecycle: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.lifecycle vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.lifecycle"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.en.lifecycle"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.name",
      "resource": {
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        "id": "StructureDefinition-ext-R4B-AuditEvent.en.name",
        "issue": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17458
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.en.name: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.name vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.name"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.en.name"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.role",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19102
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.en.role: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/object-role|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/object-role|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.role vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.en.role"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.securityLabel",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19387
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.en.securityLabel: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.securityLabel vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.securityLabel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.en.securityLabel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-AuditEvent.en.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-AuditEvent.en.type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.en.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.entity.type"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-AuditEvent.outcome: StructureDefinition"
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.outcome vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.outcome"
            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.outcomeDesc vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.outcomeDesc"
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.period vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.period"
            },
            "expression": [
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          }
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    {
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              {
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            },
            "expression": [
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                "valueString": "Publisher"
              }
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.so.site vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.source.site"
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            "expression": [
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    {
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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    {
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            "severity": "warning",
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            "details": {
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.subtype vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.subtype"
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          }
        ]
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-AuditEvent.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-AuditEvent.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-AuditEvent.type"
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          }
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    },
    {
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                "valueInteger": 1
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              {
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              {
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-BiologicallyDerivedProduct.manipulation vs http://hl7.org/fhir/4.3/StructureDefinition/extension-BiologicallyDerivedProduct.manipulation"
            },
            "expression": [
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          }
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    {
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      "resource": {
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        "issue": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-BiologicallyDerivedProduct.processing vs http://hl7.org/fhir/4.3/StructureDefinition/extension-BiologicallyDerivedProduct.processing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-BiologicallyDerivedProduct.processing"
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          }
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            },
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          {
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
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              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/product-category|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          {
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-BiologicallyDerivedProduct.productCategory vs http://hl7.org/fhir/4.3/StructureDefinition/extension-BiologicallyDerivedProduct.productCategory"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-BiologicallyDerivedProduct.productCategory"
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          }
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    },
    {
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        "issue": [
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              {
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              {
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                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-BiologicallyDerivedProduct.quantity: StructureDefinition"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-BiologicallyDerivedProduct.quantity vs http://hl7.org/fhir/4.3/StructureDefinition/extension-BiologicallyDerivedProduct.quantity"
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            "severity": "warning",
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Citation.relatesTo vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Citation.relatesTo"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Claim.di.packageCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.diagnosis.packageCode"
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            "expression": [
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          }
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                "valueInteger": 1
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              {
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                "valueInteger": 19045
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Claim.it.bodySite: StructureDefinition"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Claim.it.bodySite vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.item.bodySite"
            },
            "expression": [
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Claim.it.subSite vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim.item.subSite"
            },
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          }
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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                "valueString": "Publisher"
              }
            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClaimResponse.ad.bodySite vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClaimResponse.addItem.bodySite"
            },
            "expression": [
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      }
    },
    {
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              {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClaimResponse.ad.subSite vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClaimResponse.addItem.subSite"
            },
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    {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClaimResponse.it.ad.value vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClaimResponse.item.adjudication.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ClaimResponse.it.ad.value"
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          }
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      }
    },
    {
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                "valueInteger": 1
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              {
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                "valueInteger": 19188
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-ClaimResponse.pr.type: StructureDefinition"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClaimResponse.pr.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClaimResponse.processNote.type"
            },
            "expression": [
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          }
        ]
      }
    },
    {
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              {
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              {
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                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClinicalImpression.code vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClinicalImpression.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ClinicalImpression.code"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ClinicalImpression.fi.itemCodeableConcept",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClinicalImpression.fi.itemCodeableConcept vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClinicalImpression.finding.itemCodeableConcept"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ClinicalImpression.fi.itemCodeableConcept"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ClinicalImpression.fi.itemReference",
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                "valueInteger": 1
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClinicalImpression.fi.itemReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClinicalImpression.finding.itemReference"
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            "expression": [
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          }
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    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ClinicalImpression.investigation vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ClinicalImpression.investigation"
            },
            "expression": [
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          }
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    },
    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Communication.pa.content vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Communication.payload.content"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Communication.pa.content"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Communication.reasonCode",
      "resource": {
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        "issue": [
          {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Communication.reasonCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Communication.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Communication.reasonCode"
            ]
          }
        ]
      }
    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-CommunicationRequest.reasonReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-CommunicationRequest.reasonReference"
            },
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            },
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            "expression": [
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            },
            "expression": [
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            "expression": [
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                "valueString": "Publisher"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Composition.ev.detail vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Composition.event.detail"
            },
            "expression": [
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Composition.relatesTo vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Composition.relatesTo"
            },
            "expression": [
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          }
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
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            "details": {
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            },
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.dateTime vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.dateTime"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Consent.dateTime"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Consent.organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Consent.organization",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17756
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Consent.organization: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.organization vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.organization"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Consent.organization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Consent.policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Consent.policy",
        "issue": [
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Consent.policy: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.policy vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.policy"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Consent.pr.class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Consent.pr.class",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Consent.pr.class: StructureDefinition"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.pr.class vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.provision.class"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Consent.pr.class"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Consent.pr.type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Consent.pr.type",
        "issue": [
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              {
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                "valueInteger": 1
              },
              {
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                "valueInteger": 19048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Consent.pr.type: StructureDefinition"
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          },
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/consent-provision-type|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/consent-provision-type|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.pr.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.provision.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Consent.pr.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Consent.scope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Consent.scope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Consent.scope: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.scope vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.scope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Consent.scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Consent.source",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Consent.source vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Consent.source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Consent.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Contract.te.ac.reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Contract.te.ac.reason",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18070
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Contract.te.ac.reason vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Contract.term.action.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Contract.te.ac.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Contract.te.ac.reasonCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Contract.te.ac.reasonCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Contract.te.ac.reasonCode: StructureDefinition.snapshot.element[4].binding.valueSet"
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          },
          {
            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Contract.te.ac.reasonCode: StructureDefinition.differential.element[2].binding.valueSet"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Contract.te.ac.reasonCode: StructureDefinition"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Contract.te.ac.reasonCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Contract.term.action.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Contract.te.ac.reasonCode"
            ]
          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Contract.te.ac.reasonReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Contract.te.ac.reasonReference",
        "issue": [
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              {
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                "valueInteger": 18062
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Contract.te.ac.reasonReference: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Contract.te.ac.reasonReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Contract.term.action.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Contract.te.ac.reasonReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Coverage.cl.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Coverage.cl.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Coverage.cl.value: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Coverage.cl.value vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.class.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Coverage.cl.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Coverage.payor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Coverage.payor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Coverage.payor: StructureDefinition"
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Coverage.payor vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.payor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Coverage.payor"
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                "valueInteger": 1
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              {
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                "valueInteger": 17996
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Coverage.subscriberId: StructureDefinition"
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Coverage.subscriberId vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Coverage.subscriberId"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Coverage.subscriberId"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DetectedIssue.status",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19312
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DetectedIssue.status vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DetectedIssue.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DetectedIssue.status"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.de.type",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20080
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.de.type: StructureDefinition"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.de.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.deviceName.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.de.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.definition",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17717
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.definition: StructureDefinition"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.definition vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.definition"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.distinctIdentifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Device.distinctIdentifier",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18095
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.distinctIdentifier: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.distinctIdentifier vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.distinctIdentifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.distinctIdentifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Device.patient",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.patient vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.patient"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.pr.valueCode",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18229
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
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            },
            "expression": [
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.pr.valueCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.property.valueCode"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.pr.valueQuantity",
      "resource": {
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                "valueInteger": 1
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              {
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                "valueInteger": 18138
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              {
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.pr.valueQuantity vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.property.valueQuantity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.pr.valueQuantity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.sp.systemType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Device.sp.systemType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17613
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.sp.systemType: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.sp.systemType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.specialization.systemType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.sp.systemType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.sp.version",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Device.sp.version",
        "issue": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17618
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.sp.version: StructureDefinition"
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          },
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.sp.version vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.specialization.version"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.sp.version"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Device.status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.status: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.status vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Device.statusReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Device.statusReason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/device-status-reason|0.1.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.statusReason: StructureDefinition.snapshot.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19118
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/device-status-reason|0.1.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.statusReason: StructureDefinition.differential.element[2].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Device.statusReason: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Device.statusReason vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Device.statusReason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Device.statusReason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.capability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.capability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.capability: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.capability vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.capability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.capability"
            ]
          }
        ]
      }
    },
    {
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        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.de.type: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.de.type vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.deviceName.type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.de.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.manufacturer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.manufacturer",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.manufacturer: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.manufacturer vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.manufacturer"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.manufacturer"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.onlineInformation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.onlineInformation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17813
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.onlineInformation: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.onlineInformation vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.onlineInformation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.onlineInformation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.parentDevice",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.parentDevice",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.parentDevice: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.parentDevice vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.parentDevice"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.parentDevice"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.physicalCharacteristics",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.physicalCharacteristics",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 145929
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.physicalCharacteristics: StructureDefinition.snapshot.element[62]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 161980
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.physicalCharacteristics: StructureDefinition.differential.element[36]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162205
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.physicalCharacteristics: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.physicalCharacteristics vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.physicalCharacteristics"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.physicalCharacteristics"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.pr.valueCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.pr.valueCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.pr.valueCode: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.pr.valueCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.property.valueCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.pr.valueCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.pr.valueQuantity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.pr.valueQuantity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.pr.valueQuantity: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.pr.valueQuantity vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.property.valueQuantity"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.quantity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.quantity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18312
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.quantity vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.quantity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-DeviceDefinition.quantity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-DeviceDefinition.shelfLifeStorage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-DeviceDefinition.shelfLifeStorage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.shelfLifeStorage: StructureDefinition.snapshot.element[27]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-DeviceDefinition.shelfLifeStorage: StructureDefinition.differential.element[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-DeviceDefinition.shelfLifeStorage vs http://hl7.org/fhir/4.3/StructureDefinition/extension-DeviceDefinition.shelfLifeStorage"
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            "code": "business-rule",
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            "expression": [
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            },
            "expression": [
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            },
            "expression": [
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            "expression": [
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.ho.dietPreference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.hospitalization.dietPreference"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Encounter.ho.specialArrangement",
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Encounter.ho.specialArrangement",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Encounter.ho.specialArrangement: StructureDefinition"
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          },
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.ho.specialArrangement vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.hospitalization.specialArrangement"
            },
            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Encounter.ho.specialCourtesy",
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18760
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Encounter.ho.specialCourtesy: StructureDefinition"
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.ho.specialCourtesy vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.hospitalization.specialCourtesy"
            },
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              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Encounter.ho.specialCourtesy"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Encounter.reasonCode",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
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            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Encounter.reasonCode: StructureDefinition"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.reasonCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Encounter.reasonCode"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Encounter.reasonReference",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Encounter.reasonReference: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.reasonReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Encounter.reasonReference"
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          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Encounter.serviceType",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Encounter.serviceType: StructureDefinition"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.serviceType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.serviceType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Encounter.serviceType"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Encounter.status",
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        "id": "StructureDefinition-ext-R4B-Encounter.status",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.status vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Encounter.status"
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        ]
      }
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Encounter.statusHistory",
      "resource": {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Encounter.statusHistory vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Encounter.statusHistory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Encounter.statusHistory"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Endpoint.connectionType",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20051
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Endpoint.connectionType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Endpoint.connectionType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Endpoint.connectionType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Endpoint.payloadMimeType",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Endpoint.payloadMimeType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Endpoint.payloadMimeType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Endpoint.payloadMimeType"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Endpoint.payloadType",
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        "id": "StructureDefinition-ext-R4B-Endpoint.payloadType",
        "issue": [
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                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Endpoint.payloadType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Endpoint.payloadType"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Endpoint.status",
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        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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                "valueInteger": 19265
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Endpoint.status vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Endpoint.status"
            },
            "expression": [
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-EpisodeOfCare.di.condition",
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        "issue": [
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                "valueInteger": 1
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-EpisodeOfCare.di.condition vs http://hl7.org/fhir/4.3/StructureDefinition/extension-EpisodeOfCare.diagnosis.condition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-EpisodeOfCare.di.condition"
            ]
          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-EpisodeOfCare.di.rank",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-EpisodeOfCare.di.rank",
        "issue": [
          {
            "extension": [
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ExampleScenario.in.resourceType vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ExampleScenario.instance.resourceType"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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            "code": "business-rule",
            "details": {
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              {
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                "valueString": "Publisher"
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                "valueString": "Publisher"
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
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                "valueString": "Publisher"
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            "severity": "error",
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ExplanationOfBenefit.it.bodySite vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.bodySite"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ExplanationOfBenefit.it.bodySite"
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            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ExplanationOfBenefit.it.subSite vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ExplanationOfBenefit.item.subSite"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ExplanationOfBenefit.it.subSite"
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ExplanationOfBenefit.pr.type",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueString": "InstanceValidator"
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ImagingStudy.interpreter vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ImagingStudy.interpreter"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Immunization.programEligibility vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Immunization.programEligibility"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Immunization.re.detail vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Immunization.reaction.detail"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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            },
            "expression": [
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            "details": {
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            "expression": [
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
            "expression": [
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            "code": "business-rule",
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ImplementationGuide.de.pa.code vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ImplementationGuide.definition.parameter.code"
            },
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ImplementationGuide.de.pa.name vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ImplementationGuide.definition.page.name"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ImplementationGuide.de.re.example vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ImplementationGuide.definition.resource.example"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ImplementationGuide.ma.re.example vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ImplementationGuide.manifest.resource.example"
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
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            },
            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/contactentity-type|0.5.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-InsurancePlan.contact: StructureDefinition.differential.element[4].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-InsurancePlan.contact: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-InsurancePlan.contact vs http://hl7.org/fhir/4.3/StructureDefinition/extension-InsurancePlan.contact"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-InsurancePlan.contact"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Invoice.li.priceComponent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Invoice.li.priceComponent: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Invoice.li.priceComponent vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Invoice.lineItem.priceComponent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Invoice.li.priceComponent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Invoice.totalPriceComponent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Invoice.totalPriceComponent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Invoice.totalPriceComponent: StructureDefinition.snapshot.element[7]"
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          },
          {
            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27606
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Invoice.totalPriceComponent: StructureDefinition.differential.element[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27818
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Invoice.totalPriceComponent: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Invoice.totalPriceComponent vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Invoice.totalPriceComponent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Invoice.totalPriceComponent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-List.subject",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-List.subject",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-List.subject: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-List.subject vs http://hl7.org/fhir/4.3/StructureDefinition/extension-List.subject"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-List.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Location.availabilityExceptions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Location.availabilityExceptions",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Location.availabilityExceptions: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Location.availabilityExceptions vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Location.availabilityExceptions"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Location.availabilityExceptions"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Location.hoursOfOperation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Location.hoursOfOperation",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65777
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Location.hoursOfOperation vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Location.hoursOfOperation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Location.hoursOfOperation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Location.telecom",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Location.telecom",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18406
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-Location.telecom: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Location.telecom vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Location.telecom"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Location.telecom"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-MA.pe.actor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-MA.pe.actor",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18210
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-MA.pe.actor: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MA.pe.actor vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationAdministration.performer.actor"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-MA.pe.actor"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-MPD.na.countryLanguage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-MPD.na.countryLanguage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56457
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-MPD.na.countryLanguage: StructureDefinition"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MPD.na.countryLanguage vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicinalProductDefinition.name.countryLanguage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-MPD.na.countryLanguage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-MPD.na.namePart",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-MPD.na.namePart",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MPD.na.namePart vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicinalProductDefinition.name.namePart"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-MPD.na.namePart"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Measure.definition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Measure.definition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17731
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Measure.definition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Measure.definition vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Measure.definition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Measure.definition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-MeasureReport.gr.st.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-MeasureReport.gr.st.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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            "expression": [
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationKnowledge.intendedRoute vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.intendedRoute"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationKnowledge.kinetics vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.kinetics"
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationKnowledge.manufacturer vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.manufacturer"
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            "details": {
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            },
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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                "valueString": "Publisher"
              }
            ],
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            "code": "business-rule",
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            },
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueString": "Publisher"
              }
            ],
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationKnowledge.re.schedule vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.regulatory.schedule"
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          }
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationRequest.detectedIssue vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationRequest.detectedIssue"
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            "expression": [
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          }
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-MedicationRequest.instantiatesCanonical",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationRequest.instantiatesCanonical vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationRequest.instantiatesCanonical"
            },
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          }
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    {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationRequest.instantiatesUri vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationRequest.instantiatesUri"
            },
            "expression": [
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    },
    {
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              {
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                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-MedicationRequest.medication vs http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationRequest.medication"
            },
            "expression": [
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-MedicationRequest.performer",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
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                "valueInteger": 19042
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Observation.derivedFrom: StructureDefinition"
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          {
            "extension": [
              {
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Observation.derivedFrom vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Observation.derivedFrom"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Observation.derivedFrom"
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    {
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                "valueInteger": 1
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                "valueInteger": 18722
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ObservationDefinition.abnormalCodedValueSet: StructureDefinition"
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          {
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.abnormalCodedValueSet vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.abnormalCodedValueSet"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ObservationDefinition.abnormalCodedValueSet"
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ObservationDefinition.criticalCodedValueSet",
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                "valueInteger": 1
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              {
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                "valueInteger": 18722
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-ObservationDefinition.criticalCodedValueSet: StructureDefinition"
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.criticalCodedValueSet vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.criticalCodedValueSet"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ObservationDefinition.criticalCodedValueSet"
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              {
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                "valueInteger": 18580
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            },
            "expression": [
              "StructureDefinition/ext-R4B-ObservationDefinition.identifier: StructureDefinition"
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                "valueString": "Publisher"
              }
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.identifier vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.identifier"
            },
            "expression": [
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            "expression": [
              "StructureDefinition/ext-R4B-ObservationDefinition.normalCodedValueSet: StructureDefinition"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.normalCodedValueSet vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.normalCodedValueSet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ObservationDefinition.normalCodedValueSet"
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            },
            "expression": [
              "StructureDefinition/ext-R4B-ObservationDefinition.qualifiedInterval: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/observation-range-category|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          {
            "extension": [
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                "valueString": "InstanceValidator"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
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            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/observation-range-category|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          {
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/referencerange-meaning|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.qualifiedInterval vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.qualifiedInterval"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ObservationDefinition.qualifiedInterval"
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          }
        ]
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-ObservationDefinition.quantitativeDetails",
      "resource": {
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        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 68827
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-ObservationDefinition.quantitativeDetails: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
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            },
            "expression": [
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
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          {
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
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              "text": "The definition for the element 'Extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
            },
            "expression": [
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          {
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.quantitativeDetails vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.quantitativeDetails"
            },
            "expression": [
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          }
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    {
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                "valueInteger": 18643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ObservationDefinition.validCodedValueSet vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ObservationDefinition.validCodedValueSet"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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            "severity": "error",
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Organization.address vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Organization.address"
            },
            "expression": [
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          }
        ]
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              {
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/contactentity-type|0.5.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Organization.contact: StructureDefinition.snapshot.element[7].binding.valueSet"
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                "valueInteger": 62959
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/contactentity-type|0.5.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Organization.contact: StructureDefinition.differential.element[4].binding.valueSet"
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          {
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                "valueInteger": 1
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                "valueInteger": 66006
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Organization.contact: StructureDefinition"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Organization.contact vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Organization.contact"
            },
            "expression": [
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          }
        ]
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    },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17404
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Organization.telecom: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Organization.telecom vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Organization.telecom"
            },
            "expression": [
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    },
    {
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            },
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-OrganizationAffiliation.telecom vs http://hl7.org/fhir/4.3/StructureDefinition/extension-OrganizationAffiliation.telecom"
            },
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-PackagedProductDefinition.characteristic",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
              "StructureDefinition/ext-R4B-PackagedProductDefinition.characteristic: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-PackagedProductDefinition.characteristic vs http://hl7.org/fhir/4.3/StructureDefinition/extension-PackagedProductDefinition.characteristic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-PackagedProductDefinition.characteristic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-PackagedProductDefinition.package",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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                "valueInteger": 1
              },
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-PackagedProductDefinition.package: StructureDefinition.differential.element[53]"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-PackagedProductDefinition.package: StructureDefinition"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-PackagedProductDefinition.package vs http://hl7.org/fhir/4.3/StructureDefinition/extension-PackagedProductDefinition.package"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-PackagedProductDefinition.package"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Parameters.pa.value",
      "resource": {
        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
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            },
            "expression": [
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          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
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                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
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            "code": "invariant",
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              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Parameters.pa.value: StructureDefinition.differential.element[12]"
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          },
          {
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                "valueInteger": 1
              },
              {
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "code": "business-rule",
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            },
            "expression": [
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                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
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            },
            "expression": [
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          }
        ]
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    },
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      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134785
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
            "expression": [
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-PaymentReconciliation.detail vs http://hl7.org/fhir/4.3/StructureDefinition/extension-PaymentReconciliation.detail"
            },
            "expression": [
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          }
        ]
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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            ],
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            "code": "business-rule",
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            },
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          }
        ]
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    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-PlanDefinition.ac.input vs http://hl7.org/fhir/4.3/StructureDefinition/extension-PlanDefinition.action.input"
            },
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          }
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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          {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Procedure.reasonReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.reasonReference"
            },
            "expression": [
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          }
        ]
      }
    },
    {
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        "resourceType": "OperationOutcome",
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              {
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Procedure.usedCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.usedCode"
            },
            "expression": [
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          }
        ]
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    },
    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            },
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Procedure.usedReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Procedure.usedReference"
            },
            "expression": [
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          }
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
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            "details": {
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            },
            "expression": [
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          {
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ProdCharacteristic vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ProdCharacteristic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ProdCharacteristic"
            ]
          }
        ]
      }
    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17658
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ProductShelfLife.identifier vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ProductShelfLife.identifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ProductShelfLife.identifier"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Provenance.ag.onBehalfOf",
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        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Provenance.ag.onBehalfOf",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Provenance.ag.onBehalfOf vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Provenance.agent.onBehalfOf"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Provenance.ag.onBehalfOf"
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          }
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Provenance.en.role",
      "resource": {
        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            },
            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Provenance.en.role vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Provenance.entity.role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Provenance.en.role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Provenance.reason",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|2.0.0'"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Provenance.reason: StructureDefinition.snapshot.element[4].binding.valueSet"
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          },
          {
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18994
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              {
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                "valueString": "InstanceValidator"
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              {
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                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|2.0.0'"
            },
            "expression": [
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          },
          {
            "extension": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Provenance.reason vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Provenance.reason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Provenance.reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-QR.it.an.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-QR.it.an.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-QR.it.an.value: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-QR.it.an.value vs http://hl7.org/fhir/4.3/StructureDefinition/extension-QuestionnaireResponse.item.answer.value"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-QR.it.an.value"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Ratio.denominator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Ratio.denominator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17522
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Ratio.denominator: StructureDefinition"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Ratio.denominator vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Ratio.denominator"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-RelatedArtifact.url",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-RelatedArtifact.url",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-RelatedArtifact.url: StructureDefinition"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-RelatedArtifact.url vs http://hl7.org/fhir/4.3/StructureDefinition/extension-RelatedArtifact.url"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-RelatedArtifact.url"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-RequestGroup.ac.action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-RequestGroup.ac.action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22819
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26676
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
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            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/ext-R4B-RequestGroup.ac.action: StructureDefinition.differential.element[3]"
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          {
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-RequestGroup.ac.action: StructureDefinition"
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                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-RequestGroup.ac.action vs http://hl7.org/fhir/4.3/StructureDefinition/extension-RequestGroup.action.action"
            },
            "expression": [
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
              "StructureDefinition/ext-R4B-RequestGroup.ac.participant: StructureDefinition"
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                "valueString": "Publisher"
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            "details": {
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            "code": "business-rule",
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            "expression": [
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                "valueString": "Publisher"
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            "code": "business-rule",
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              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-RequestGroup.ac.re.actionId vs http://hl7.org/fhir/4.3/StructureDefinition/extension-RequestGroup.action.relatedAction.actionId"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-RequestGroup.reasonCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-RequestGroup.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-RequestGroup.reasonCode"
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-RequestGroup.reasonReference",
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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          }
        ]
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
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                "valueString": "Publisher"
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            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ResearchDefinition vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ResearchDefinition"
            },
            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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                "valueCode": "SD_ED_EXPERIMENTAL_BINDING"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The definition for the element 'Extension.extension.extension.value[x]' binds to the value set 'http://hl7.org/fhir/ValueSet/ucum-units|5.0.0' which is experimental, but this structure is not labeled as experimental"
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                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
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            "expression": [
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          }
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    {
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            "details": {
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                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ResearchStudy.arm vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ResearchStudy.arm"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ResearchStudy.arm"
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          }
        ]
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    {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
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            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
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            "code": "business-rule",
            "details": {
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            },
            "expression": [
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    {
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            },
            "expression": [
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                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ResearchStudy.enrollment vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ResearchStudy.enrollment"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-ResearchStudy.enrollment"
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          }
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "error",
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            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-ServiceRequest.supportingInfo vs http://hl7.org/fhir/4.3/StructureDefinition/extension-ServiceRequest.supportingInfo"
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19858
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-StructureMap.gr.typeMode: StructureDefinition"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-StructureMap.gr.typeMode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-StructureMap.group.typeMode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-StructureMap.gr.typeMode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Subscription.channel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Subscription.channel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 67319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Subscription.channel: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Subscription.channel vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Subscription.channel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Subscription.channel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Subscription.criteria",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Subscription.criteria",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17849
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Subscription.criteria: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Subscription.criteria vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Subscription.criteria"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Subscription.criteria"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Subscription.error",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Subscription.error",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Subscription.error: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Subscription.error vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Subscription.error"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Subscription.error"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-SubscriptionStatus.eSSS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-SubscriptionStatus.eSSS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-SubscriptionStatus.eSSS: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-SubscriptionStatus.eSSS vs http://hl7.org/fhir/4.3/StructureDefinition/extension-SubscriptionStatus.eventsSinceSubscriptionStart"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-SubscriptionStatus.eSSS"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-SubscriptionStatus.no.eventNumber",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-SubscriptionStatus.no.eventNumber",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-SubscriptionStatus.no.eventNumber: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-SubscriptionStatus.no.eventNumber vs http://hl7.org/fhir/4.3/StructureDefinition/extension-SubscriptionStatus.notificationEvent.eventNumber"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-SubscriptionStatus.no.eventNumber"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-SubscriptionTopic.ca.modifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-SubscriptionTopic.ca.modifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-SubscriptionTopic.ca.modifier: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-SubscriptionTopic.ca.modifier vs http://hl7.org/fhir/4.3/StructureDefinition/extension-SubscriptionTopic.canFilterBy.modifier"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-SubscriptionTopic.ca.modifier"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Substance.code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Substance.code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Substance.code: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Substance.code vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Substance.code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Substance.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Substance.instance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Substance.instance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-Substance.instance: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-Substance.instance vs http://hl7.org/fhir/4.3/StructureDefinition/extension-Substance.instance"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-Substance.instance"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-SupplyRequest.item",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-SupplyRequest.item",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-SupplyRequest.item: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-SupplyRequest.item vs http://hl7.org/fhir/4.3/StructureDefinition/extension-SupplyRequest.item"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-SupplyRequest.item"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-SupplyRequest.reasonCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-SupplyRequest.reasonCode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-SupplyRequest.reasonCode: StructureDefinition"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-SupplyRequest.reasonCode vs http://hl7.org/fhir/4.3/StructureDefinition/extension-SupplyRequest.reasonCode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-SupplyRequest.reasonCode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-SupplyRequest.reasonReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-SupplyRequest.reasonReference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-SupplyRequest.reasonReference: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-SupplyRequest.reasonReference vs http://hl7.org/fhir/4.3/StructureDefinition/extension-SupplyRequest.reasonReference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/extensions/StructureDefinition-ext-R4B-SupplyRequest.reasonReference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-ext-R4B-Task.in.value",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ext-R4B-Task.in.value",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 142086
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x]' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
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            "expression": [
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            "expression": [
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            "expression": [
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              {
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              {
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            "expression": [
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            "expression": [
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    {
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    {
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                "valueString": "Publisher"
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            "expression": [
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        "id": "StructureDefinition-ext-R4B-TestScript.se.ac.op.resource",
        "issue": [
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                "valueInteger": 1
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              {
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                "valueInteger": 19846
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/ext-R4B-TestScript.se.ac.op.resource: StructureDefinition"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/ext-R4B-TestScript.se.ac.op.resource vs http://hl7.org/fhir/4.3/StructureDefinition/extension-TestScript.setup.action.operation.resource"
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                "valueInteger": 39630
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                "valueCode": "Unknown_Code_in_Version"
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            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'CatalogEntry' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-CatalogEntry-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
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              {
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                "valueInteger": 44268
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
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            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'CatalogEntry' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-CatalogEntry-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44272
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4B-CatalogEntry-for-R5: StructureDefinition"
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4B-CatalogEntry-for-R5')"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/R4B-CatalogEntry-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4B-CatalogEntry-for-R5"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/profiles/StructureDefinition-R4B-CatalogEntry-for-R5"
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      "resource": {
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39753
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
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            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'DocumentManifest' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-DocumentManifest-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44411
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
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            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'DocumentManifest' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-DocumentManifest-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44415
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4B-DocumentManifest-for-R5: StructureDefinition"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4B-DocumentManifest-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/R4B-DocumentManifest-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4B-DocumentManifest-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/profiles/StructureDefinition-R4B-DocumentManifest-for-R5"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-R4B-Population-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4B-Population-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39561
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
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            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'Population' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-Population-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44189
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
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            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'Population' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-Population-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44193
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4B-Population-for-R5: StructureDefinition"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4B-Population-for-R5')"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/R4B-Population-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4B-Population-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/profiles/StructureDefinition-R4B-Population-for-R5"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-R4B-ProdCharacteristic-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4B-ProdCharacteristic-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39846
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ProdCharacteristic' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-ProdCharacteristic-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44514
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ProdCharacteristic' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-ProdCharacteristic-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44518
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                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "code": "business-rule",
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              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4B-ProdCharacteristic-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
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            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/R4B-ProdCharacteristic-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4B-ProdCharacteristic-for-R5"
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            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/profiles/StructureDefinition-R4B-ProdCharacteristic-for-R5"
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      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-R4B-ResearchDefinition-for-R5",
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39923
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ResearchDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-ResearchDefinition-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44591
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ResearchDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-ResearchDefinition-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            "expression": [
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                "valueString": "Publisher"
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4B-ResearchDefinition-for-R5')"
            ]
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/R4B-ResearchDefinition-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4B-ResearchDefinition-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/profiles/StructureDefinition-R4B-ResearchDefinition-for-R5"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/StructureDefinition-R4B-ResearchElementDefinition-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-R4B-ResearchElementDefinition-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ResearchElementDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-ResearchElementDefinition-for-R5: StructureDefinition.snapshot.element[11].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ResearchElementDefinition' in the CodeSystem 'http://hl7.org/fhir/fhir-types' version '5.0.0'"
            },
            "expression": [
              "StructureDefinition/R4B-ResearchElementDefinition-for-R5: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "StructureDefinition/R4B-ResearchElementDefinition-for-R5: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/5.0/StructureDefinition/R4B-ResearchElementDefinition-for-R5')"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/StructureDefinition/R4B-ResearchElementDefinition-for-R5 vs http://hl7.org/fhir/5.0/StructureDefinition/R4B-ResearchElementDefinition-for-R5"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/profiles/StructureDefinition-R4B-ResearchElementDefinition-for-R5"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-FHIR-version",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-FHIR-version",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/FHIR-version vs http://hl7.org/fhir/FHIR-version"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-FHIR-version"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-abstract-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-abstract-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/abstract-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/abstract-types vs http://hl7.org/fhir/abstract-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-abstract-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-account-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-account-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/account-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/account-status vs http://hl7.org/fhir/account-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-account-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-cardinality-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-cardinality-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-cardinality-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-cardinality-behavior vs http://hl7.org/fhir/action-cardinality-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-cardinality-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/action-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/action-code|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/action-code)"
            },
            "expression": [
              "CodeSystem/action-code: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-condition-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-condition-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-condition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-condition-kind vs http://hl7.org/fhir/action-condition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-condition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-grouping-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-grouping-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5574
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-grouping-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-grouping-behavior vs http://hl7.org/fhir/action-grouping-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-grouping-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-participant-type vs http://hl7.org/fhir/action-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-precheck-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-precheck-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-precheck-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-precheck-behavior vs http://hl7.org/fhir/action-precheck-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-precheck-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-reason-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-reason-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/action-reason-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/action-reason-code|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/action-reason-code)"
            },
            "expression": [
              "CodeSystem/action-reason-code: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-relationship-type vs http://hl7.org/fhir/action-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-required-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-required-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4473
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-required-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-required-behavior vs http://hl7.org/fhir/action-required-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-required-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-selection-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-selection-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/action-selection-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/action-selection-behavior vs http://hl7.org/fhir/action-selection-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-action-selection-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-action-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-action-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-address-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-address-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/address-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/address-type vs http://hl7.org/fhir/address-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-address-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-address-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-address-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/address-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/address-use vs http://hl7.org/fhir/address-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-address-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adjudication-error",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-error",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/adjudication-error: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adjudication-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adjudication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adjudication"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-administrable-dose-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-administrable-dose-form",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/administrable-dose-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/administrable-dose-form: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/administrable-dose-form vs http://hl7.org/fhir/administrable-dose-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-administrable-dose-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-administrative-gender",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-administrative-gender",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/administrative-gender: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/administrative-gender vs http://hl7.org/fhir/administrative-gender"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-administrative-gender"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-actuality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-actuality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3593
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/adverse-event-actuality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/adverse-event-actuality vs http://hl7.org/fhir/adverse-event-actuality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-adverse-event-actuality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-causality-assess",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality-assess"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-causality-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-causality-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/adverse-event-causality-method: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/adverse-event-outcome has an 'all system' value set of http://hl7.org/fhir/ValueSet/adverse-event-outcome|5.0.0, but the value set doesn't have a matching system (http://snomed.info/sct)"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/adverse-event-outcome: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-seriousness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-seriousness"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-adverse-event-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-adverse-event-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/adverse-event-severity'"
            },
            "expression": [
              "CodeSystem/adverse-event-severity: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/adverse-event-severity: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-allergy-intolerance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/allergy-intolerance-category vs http://hl7.org/fhir/allergy-intolerance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-allergy-intolerance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-allergy-intolerance-criticality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-criticality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/allergy-intolerance-criticality vs http://hl7.org/fhir/allergy-intolerance-criticality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-allergy-intolerance-criticality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-allergy-intolerance-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/allergy-intolerance-type vs http://hl7.org/fhir/allergy-intolerance-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-allergy-intolerance-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-allergyintolerance-clinical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergyintolerance-clinical"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-allergyintolerance-verification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergyintolerance-verification"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-animal-genderstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-genderstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3671
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/animal-genderstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/animal-genderstatus vs http://hl7.org/fhir/animal-genderstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-animal-genderstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-animal-species",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-species",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/animal-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/animal-species vs http://hl7.org/fhir/animal-species"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-animal-species"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-animal-tissue-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-animal-tissue-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/animal-tissue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/animal-tissue-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/animal-tissue-type vs http://hl7.org/fhir/animal-tissue-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-animal-tissue-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-appointment-cancellation-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-appointment-cancellation-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/appointment-cancellation-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/appointment-cancellation-reason: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-appointmentstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-appointmentstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9391
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/appointmentstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/appointmentstatus vs http://hl7.org/fhir/appointmentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-appointmentstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-article-url-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-article-url-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/article-url-type'"
            },
            "expression": [
              "CodeSystem/article-url-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-artifact-contribution-instance-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-artifact-contribution-instance-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/artifact-contribution-instance-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/artifact-contribution-instance-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/artifact-contribution-instance-type)"
            },
            "expression": [
              "CodeSystem/artifact-contribution-instance-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-artifact-contribution-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-artifact-contribution-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/artifact-contribution-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/artifact-contribution-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/artifact-contribution-type)"
            },
            "expression": [
              "CodeSystem/artifact-contribution-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-artifact-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-artifact-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/artifact-relationship-type'"
            },
            "expression": [
              "CodeSystem/artifact-relationship-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-assert-direction-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-direction-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-direction-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/assert-direction-codes vs http://hl7.org/fhir/assert-direction-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-assert-direction-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-assert-operator-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-operator-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-operator-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/assert-operator-codes vs http://hl7.org/fhir/assert-operator-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-assert-operator-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-assert-response-code-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-assert-response-code-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/assert-response-code-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/assert-response-code-types vs http://hl7.org/fhir/assert-response-code-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-assert-response-code-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-asset-availability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-asset-availability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/asset-availability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/asset-availability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/asset-availability vs http://hl7.org/fhir/asset-availability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-asset-availability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-attribute-estimate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-attribute-estimate-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-audit-entity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-entity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/audit-entity-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-audit-event-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-event-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/audit-event-action vs http://hl7.org/fhir/audit-event-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-audit-event-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-audit-event-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/audit-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/audit-event-outcome has an 'all system' value set of http://hl7.org/fhir/ValueSet/audit-event-outcome|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/issue-severity)"
            },
            "expression": [
              "CodeSystem/audit-event-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/audit-event-outcome vs http://hl7.org/fhir/audit-event-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-audit-event-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-audit-event-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-event-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-audit-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-audit-source-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/audit-source-type vs http://terminology.hl7.org/CodeSystem/security-source-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-audit-source-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-basic-resource-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-basic-resource-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-benefit-network",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-network"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-benefit-term",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-term"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-benefit-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-benefit-unit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-benefit-unit"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-binding-strength",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-binding-strength",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/binding-strength: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/binding-strength vs http://hl7.org/fhir/binding-strength"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-binding-strength"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-bundle-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-bundle-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/bundle-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/bundle-type vs http://hl7.org/fhir/bundle-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-bundle-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-capability-statement-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-capability-statement-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/capability-statement-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/capability-statement-kind vs http://hl7.org/fhir/capability-statement-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-capability-statement-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-care-plan-activity-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-plan-activity-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/care-plan-activity-status'"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-plan-activity-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/care-plan-activity-status vs http://hl7.org/fhir/care-plan-activity-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-care-plan-activity-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-care-team-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-care-team-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/care-team-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/care-team-status vs http://hl7.org/fhir/care-team-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-care-team-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-catalogType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-catalogType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/catalogType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/catalogType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/catalogType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/catalogType vs http://hl7.org/fhir/catalogType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-catalogType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-cdshooks-indicator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cdshooks-indicator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/cdshooks-indicator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/cdshooks-indicator: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/cdshooks-indicator vs http://cds-hooks.hl7.org/CodeSystem/indicator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-cdshooks-indicator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-certainty-rating",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-rating",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/certainty-rating has an 'all system' value set of http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/certainty-rating)"
            },
            "expression": [
              "CodeSystem/certainty-rating: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-certainty-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-certainty-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/certainty-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/certainty-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/certainty-type)"
            },
            "expression": [
              "CodeSystem/certainty-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-characteristic-combination",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-characteristic-combination",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/characteristic-combination: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/characteristic-combination vs http://hl7.org/fhir/characteristic-combination"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-characteristic-combination"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-characteristic-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-characteristic-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/characteristic-method'"
            },
            "expression": [
              "CodeSystem/characteristic-method: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-chargeitem-billingcodes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chargeitem-billingcodes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-chargeitem-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chargeitem-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/chargeitem-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/chargeitem-status vs http://hl7.org/fhir/chargeitem-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-chargeitem-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-chromosome-human",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-chromosome-human",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/chromosome-human'"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/chromosome-human: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-citation-artifact-classifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-artifact-classifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/citation-artifact-classifier has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-artifact-classifier|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/citation-artifact-classifier)"
            },
            "expression": [
              "CodeSystem/citation-artifact-classifier: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-citation-classification-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-classification-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/citation-classification-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-classification-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/citation-classification-type)"
            },
            "expression": [
              "CodeSystem/citation-classification-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-citation-status-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-status-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/citation-status-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-status-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/citation-status-type)"
            },
            "expression": [
              "CodeSystem/citation-status-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-citation-summary-style",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-citation-summary-style",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/citation-summary-style has an 'all system' value set of http://hl7.org/fhir/ValueSet/citation-summary-style|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/citation-summary-style)"
            },
            "expression": [
              "CodeSystem/citation-summary-style: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-cited-artifact-abstract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-abstract-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-abstract-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/cited-artifact-abstract-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-abstract-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-cited-artifact-classification-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-classification-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-classification-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/cited-artifact-classification-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-classification-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-cited-artifact-part-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-part-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/cited-artifact-part-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-part-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/cited-artifact-part-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-part-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-cited-artifact-status-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-artifact-status-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/cited-artifact-status-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-artifact-status-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/cited-artifact-status-type)"
            },
            "expression": [
              "CodeSystem/cited-artifact-status-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-cited-medium",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-cited-medium",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/cited-medium has an 'all system' value set of http://hl7.org/fhir/ValueSet/cited-medium|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/cited-medium)"
            },
            "expression": [
              "CodeSystem/cited-medium: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-careteamrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-careteamrole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/claim-careteamrole vs http://terminology.hl7.org/CodeSystem/claimcareteamrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-claim-careteamrole"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-exception"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-informationcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-informationcategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/claim-informationcategory vs http://terminology.hl7.org/CodeSystem/claiminformationcategory"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-claim-informationcategory"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-modifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-modifiers",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/claim-modifiers vs http://terminology.hl7.org/CodeSystem/modifiers"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-claim-modifiers"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/claim-subtype vs http://terminology.hl7.org/CodeSystem/ex-claimsubtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-claim-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-claim-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-claim-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/claim-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/claim-use vs http://hl7.org/fhir/claim-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-claim-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-clinical-use-definition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-clinical-use-definition-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/clinical-use-definition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/clinical-use-definition-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/clinical-use-definition-category: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/clinical-use-definition-category vs http://hl7.org/fhir/clinical-use-definition-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-clinical-use-definition-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-clinical-use-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-clinical-use-definition-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5254
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/clinical-use-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/clinical-use-definition-type vs http://hl7.org/fhir/clinical-use-definition-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-clinical-use-definition-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-code-search-support",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-code-search-support",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/code-search-support vs http://hl7.org/fhir/code-search-support"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-code-search-support"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-codesystem-content-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-content-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/codesystem-content-mode vs http://hl7.org/fhir/codesystem-content-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-codesystem-content-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-codesystem-hierarchy-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-hierarchy-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/codesystem-hierarchy-meaning vs http://hl7.org/fhir/codesystem-hierarchy-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-codesystem-hierarchy-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-combined-dose-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-combined-dose-form",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/combined-dose-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/combined-dose-form: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/combined-dose-form vs http://hl7.org/fhir/combined-dose-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-combined-dose-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-common-tags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-common-tags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/common-tags has an 'all system' value set of http://hl7.org/fhir/ValueSet/common-tags|5.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/common-tags: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-communication-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-communication-not-done-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-not-done-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-communication-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-communication-topic"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-compartment-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-compartment-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/compartment-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/compartment-type vs http://hl7.org/fhir/compartment-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-compartment-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-composite-measure-scoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composite-measure-scoring"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-composition-attestation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composition-attestation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/composition-attestation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/composition-attestation-mode vs http://hl7.org/fhir/composition-attestation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-composition-attestation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-composition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-composition-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/composition-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/composition-status vs http://hl7.org/fhir/composition-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-composition-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-concept-map-equivalence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-map-equivalence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/concept-map-equivalence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/concept-map-equivalence vs http://hl7.org/fhir/concept-map-equivalence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-concept-map-equivalence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-concept-properties",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-properties",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'draft' and the standards status 'normative' are not consistent"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/concept-properties: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/concept-properties vs http://hl7.org/fhir/concept-properties"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-concept-properties"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-concept-property-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-property-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/concept-property-type vs http://hl7.org/fhir/concept-property-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-concept-property-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-concept-subsumption-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-concept-subsumption-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/concept-subsumption-outcome vs http://hl7.org/fhir/concept-subsumption-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-concept-subsumption-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-conceptmap-unmapped-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conceptmap-unmapped-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/conceptmap-unmapped-mode vs http://hl7.org/fhir/conceptmap-unmapped-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-conceptmap-unmapped-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-condition-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-condition-clinical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-clinical"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-condition-ver-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-condition-ver-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-conditional-delete-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conditional-delete-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4445
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conditional-delete-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/conditional-delete-status vs http://hl7.org/fhir/conditional-delete-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-conditional-delete-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-conditional-read-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-conditional-read-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/conditional-read-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/conditional-read-status vs http://hl7.org/fhir/conditional-read-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-conditional-read-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-action vs http://terminology.hl7.org/CodeSystem/consentaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-category vs http://terminology.hl7.org/CodeSystem/consentcategorycodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-data-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-data-meaning",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-data-meaning: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-data-meaning vs http://hl7.org/fhir/consent-data-meaning"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-data-meaning"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-policy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-policy vs http://terminology.hl7.org/CodeSystem/consentpolicycodes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-provision-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-provision-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3592
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-provision-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-provision-type vs http://hl7.org/fhir/consent-provision-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-provision-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-scope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-scope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-scope vs http://terminology.hl7.org/CodeSystem/consentscope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-consent-state-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-consent-state-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5959
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "CodeSystem/consent-state-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/consent-state-codes vs http://hl7.org/fhir/consent-state-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-consent-state-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-constraint-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-constraint-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2833
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/constraint-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/constraint-severity vs http://hl7.org/fhir/constraint-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-constraint-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contact-point-system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-system",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6092
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contact-point-system: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contact-point-system vs http://hl7.org/fhir/contact-point-system"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contact-point-system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contact-point-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contact-point-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contact-point-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contact-point-use vs http://hl7.org/fhir/contact-point-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contact-point-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contactentity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contactentity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contactentity-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-container-cap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-container-cap"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2250
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-action vs http://hl7.org/fhir/contract-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-actionstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-actionstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-actionstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1852
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-actionstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-actionstatus vs http://hl7.org/fhir/contract-actionstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-actionstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-actorrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-actorrole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-actorrole: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-actorrole vs http://hl7.org/fhir/contract-actorrole"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-actorrole"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-assetcontext",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assetcontext",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-assetcontext: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-assetcontext: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-assetcontext vs http://hl7.org/fhir/contract-assetcontext"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-assetcontext"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-assetscope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assetscope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-assetscope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-assetscope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-assetscope vs http://hl7.org/fhir/contract-assetscope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-assetscope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-assetsubtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assetsubtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-assetsubtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-assetsubtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-assetsubtype vs http://hl7.org/fhir/contract-assetsubtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-assetsubtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-assettype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-assettype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-assettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-assettype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-assettype vs http://hl7.org/fhir/contract-assettype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-assettype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-content-derivative",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-content-derivative",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-content-derivative: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-content-derivative vs http://hl7.org/fhir/contract-content-derivative"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-content-derivative"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-decision-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-decision-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-decision-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-decision-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-decision-mode vs http://hl7.org/fhir/contract-decision-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-decision-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-definition-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-definition-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-definition-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-definition-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-definition-subtype vs http://hl7.org/fhir/contract-definition-subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-definition-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-definition-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-definition-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-definition-type vs http://hl7.org/fhir/contract-definition-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-definition-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-expiration-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-expiration-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-expiration-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-expiration-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-expiration-type vs http://hl7.org/fhir/contract-expiration-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-expiration-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-legalstate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-legalstate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-legalstate: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-legalstate: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-legalstate vs http://hl7.org/fhir/contract-legalstate"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-legalstate"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-party-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-party-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-party-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-party-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-party-role vs http://hl7.org/fhir/contract-party-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-party-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-publicationstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-publicationstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-publicationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15740
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-publicationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-publicationstatus vs http://hl7.org/fhir/contract-publicationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-publicationstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-scope",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-scope",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-scope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-scope: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-scope vs http://hl7.org/fhir/contract-scope"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-scope"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-security-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-security-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-security-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-security-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-security-category vs http://hl7.org/fhir/contract-security-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-security-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-security-classification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-security-classification",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-security-classification: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-security-classification: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-security-classification vs http://hl7.org/fhir/contract-security-classification"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-security-classification"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-security-control",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-security-control",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-security-control: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-security-control: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-security-control vs http://hl7.org/fhir/contract-security-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-security-control"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-signer-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-signer-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-signer-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-signer-type vs http://hl7.org/fhir/contract-signer-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-signer-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/contract-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-status vs http://hl7.org/fhir/contract-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-subtype vs http://hl7.org/fhir/contract-subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-term-subtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-term-subtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-term-subtype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-term-subtype vs http://hl7.org/fhir/contract-term-subtype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-term-subtype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-term-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-term-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-term-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-term-type vs http://hl7.org/fhir/contract-term-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-term-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contract-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contract-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/contract-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contract-type vs http://hl7.org/fhir/contract-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contract-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contributor-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/contributor-role has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-role|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contributor-role)"
            },
            "expression": [
              "CodeSystem/contributor-role: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contributor-summary-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-summary-source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/contributor-summary-source has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-summary-source|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contributor-summary-source)"
            },
            "expression": [
              "CodeSystem/contributor-summary-source: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contributor-summary-style",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-summary-style",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/contributor-summary-style has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-summary-style|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contributor-summary-style)"
            },
            "expression": [
              "CodeSystem/contributor-summary-style: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contributor-summary-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-summary-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/contributor-summary-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/contributor-summary-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/contributor-summary-type)"
            },
            "expression": [
              "CodeSystem/contributor-summary-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-contributor-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-contributor-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/contributor-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/contributor-type vs http://hl7.org/fhir/contributor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-contributor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-coverage-class",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-class"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-coverage-copay-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-copay-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-coverage-financial-exception",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-financial-exception",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/coverage-financial-exception vs http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-coverage-financial-exception"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-coverageeligibilityresponse-ex-auth-support",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverageeligibilityresponse-ex-auth-support"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-data-absent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-data-absent-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/data-absent-reason: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-data-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-data-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/data-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37039
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/data-types: CodeSystem.concept[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/data-types vs http://hl7.org/fhir/data-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-data-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-days-of-week",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-days-of-week",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/days-of-week: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/days-of-week vs http://hl7.org/fhir/days-of-week"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-days-of-week"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-definition-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/definition-resource-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/definition-resource-types|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/fhir-types)"
            },
            "expression": [
              "CodeSystem/definition-resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/definition-resource-types vs http://hl7.org/fhir/definition-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-definition-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-definition-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/definition-status'"
            },
            "expression": [
              "CodeSystem/definition-status: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-definition-topic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-topic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/definition-topic has an 'all system' value set of http://hl7.org/fhir/ValueSet/definition-topic|5.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/definition-topic: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-definition-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-definition-use"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-designation-usage"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-detectedissue-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-detectedissue-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/detectedissue-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/detectedissue-severity vs http://hl7.org/fhir/detectedissue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-detectedissue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-device-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/device-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/device-action vs http://hl7.org/fhir/device-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-device-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-device-nametype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-nametype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5481
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-nametype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/device-nametype vs http://hl7.org/fhir/device-nametype"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-device-nametype"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-device-statement-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-statement-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5289
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/device-statement-status'"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/device-statement-status vs http://hl7.org/fhir/device-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-device-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-device-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/device-status-reason'"
            },
            "expression": [
              "CodeSystem/device-status-reason: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-device-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-device-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/device-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/device-status vs http://hl7.org/fhir/device-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-device-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-diagnosis-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-diagnosis-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/diagnosis-role: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-diagnostic-report-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-diagnostic-report-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/diagnostic-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/diagnostic-report-status vs http://hl7.org/fhir/diagnostic-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-diagnostic-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-dicom-audit-lifecycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dicom-audit-lifecycle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5684
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/dicom-audit-lifecycle: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-dicom-dcim",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dicom-dcim",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1179072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/dicom-dcim'"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1710198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1710198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published code systems SHOULD conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dicom-dcim: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/dicom-dcim vs http://dicom.nema.org/resources/ontology/DCM"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-dicom-dcim"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-directness",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-directness",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/directness'"
            },
            "expression": [
              "CodeSystem/directness: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-discriminator-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-discriminator-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/discriminator-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/discriminator-type vs http://hl7.org/fhir/discriminator-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-discriminator-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-document-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-document-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/document-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/document-mode vs http://hl7.org/fhir/document-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-document-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-document-reference-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-document-reference-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/document-reference-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/document-reference-status vs http://hl7.org/fhir/document-reference-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-document-reference-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-document-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-document-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "CodeSystem/document-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/document-relationship-type vs http://hl7.org/fhir/document-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-document-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-dose-rate-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dose-rate-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/dose-rate-type'"
            },
            "expression": [
              "CodeSystem/dose-rate-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-eligibilityrequest-purpose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-eligibilityrequest-purpose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5359
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/eligibilityrequest-purpose: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/eligibilityrequest-purpose vs http://hl7.org/fhir/eligibilityrequest-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-eligibilityrequest-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-eligibilityresponse-purpose",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-eligibilityresponse-purpose",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/eligibilityresponse-purpose: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/eligibilityresponse-purpose vs http://hl7.org/fhir/eligibilityresponse-purpose"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-eligibilityresponse-purpose"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-admit-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-admit-source",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-admit-source: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/encounter-admit-source vs http://terminology.hl7.org/CodeSystem/admit-source"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-encounter-admit-source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-diet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-diet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-diet: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/encounter-diet vs http://terminology.hl7.org/CodeSystem/diet"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-encounter-diet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-discharge-disposition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-discharge-disposition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6880
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-discharge-disposition: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/encounter-discharge-disposition vs http://terminology.hl7.org/CodeSystem/discharge-disposition"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-encounter-discharge-disposition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-location-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-location-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/encounter-location-status vs http://hl7.org/fhir/encounter-location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-encounter-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/encounter-participant-type vs http://terminology.hl7.org/CodeSystem/participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-encounter-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-special-arrangements",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-special-arrangements",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-special-arrangements: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/encounter-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/encounter-status vs http://hl7.org/fhir/encounter-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-encounter-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-encounter-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-encounter-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/encounter-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-endpoint-connection-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-connection-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/endpoint-connection-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-endpoint-payload-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-payload-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/endpoint-payload-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-endpoint-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-endpoint-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/endpoint-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/endpoint-status vs http://hl7.org/fhir/endpoint-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-endpoint-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-entformula-additive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-entformula-additive"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-episode-of-care-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-episode-of-care-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/episode-of-care-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/episode-of-care-status vs http://hl7.org/fhir/episode-of-care-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-episode-of-care-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-episodeofcare-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-episodeofcare-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/episodeofcare-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-event-capability-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-capability-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/event-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/event-capability-mode vs http://hl7.org/fhir/event-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-event-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-event-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/event-resource-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/event-resource-types|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/fhir-types)"
            },
            "expression": [
              "CodeSystem/event-resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/event-resource-types vs http://hl7.org/fhir/event-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-event-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-event-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/event-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/event-status vs http://hl7.org/fhir/event-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-event-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-event-timing",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-event-timing",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/event-timing: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/event-timing vs http://hl7.org/fhir/event-timing"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-event-timing"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-evidence-classifier-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-classifier-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/evidence-classifier-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/evidence-classifier-code|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/evidence-classifier-code)"
            },
            "expression": [
              "CodeSystem/evidence-classifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/evidence-classifier-code: CodeSystem.concept[12]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-evidence-quality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-quality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/evidence-quality'"
            },
            "expression": [
              "CodeSystem/evidence-quality: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-evidence-report-section",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-report-section",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/evidence-report-section has an 'all system' value set of http://hl7.org/fhir/ValueSet/evidence-report-section|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/evidence-report-section)"
            },
            "expression": [
              "CodeSystem/evidence-report-section: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19392
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/evidence-report-section: CodeSystem.concept[24]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-evidence-report-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-evidence-report-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/evidence-report-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/evidence-report-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/evidence-report-type)"
            },
            "expression": [
              "CodeSystem/evidence-report-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-benefitcategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-benefitcategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-diagnosis-on-admission",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosis-on-admission"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-diagnosisrelatedgroup",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosisrelatedgroup"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-diagnosistype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-diagnosistype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-paymenttype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-paymenttype"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-procedure-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-procedure-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-program-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-program-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/ex-program-code vs http://terminology.hl7.org/CodeSystem/ex-programcode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-ex-program-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ex-revenue-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ex-revenue-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-example-supplement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-example-supplement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/example-supplement: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/example-supplement vs http://hl7.org/fhir/CodeSystem/example-supplement"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-example-supplement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://acme.com/config/fhir/codesystems/internal' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/example: CodeSystem.concept[0].designation[0].use.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3310
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://acme.com/config/fhir/codesystems/internal' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/example: CodeSystem.concept[1].designation[0].use.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3515
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://acme.com/config/fhir/codesystems/internal' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/example: CodeSystem.concept[2].designation[0].use.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3582
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/example: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/example vs http://hl7.org/fhir/CodeSystem/example"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-example"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-examplescenario-actor-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-examplescenario-actor-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/examplescenario-actor-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/examplescenario-actor-type vs http://hl7.org/fhir/examplescenario-actor-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-examplescenario-actor-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-explanationofbenefit-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-explanationofbenefit-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/explanationofbenefit-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/explanationofbenefit-status vs http://hl7.org/fhir/explanationofbenefit-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-explanationofbenefit-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-expression-language",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-expression-language",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3844
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/expression-language: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/expression-language has an 'all system' value set of http://hl7.org/fhir/ValueSet/expression-language|5.0.0, but the value set doesn't have a matching system (urn:ietf:bcp:13)"
            },
            "expression": [
              "CodeSystem/expression-language: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/expression-language vs http://hl7.org/fhir/expression-language"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-expression-language"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-extension-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extension-context-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4922
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/extension-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/extension-context-type vs http://hl7.org/fhir/extension-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-extension-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-extra-activity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extra-activity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/extra-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4240
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/extra-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/extra-activity-type vs http://hl7.org/fhir/extra-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-extra-activity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-extra-security-role-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-extra-security-role-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/extra-security-role-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-feeding-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-feeding-device",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/feeding-device: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/feeding-device vs http://hl7.org/fhir/feeding-device"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-feeding-device"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-fhirpath-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fhirpath-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/fhirpath-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/fhirpath-types: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/fhirpath-types vs http://hl7.org/fhir/CodeSystem/fhirpath-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-fhirpath-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-filter-operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-filter-operator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/filter-operator vs http://hl7.org/fhir/filter-operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-filter-operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-flag-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-flag-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/flag-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/flag-priority vs http://hl7.org/fhir/flag-priority-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-flag-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-flag-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-flag-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/flag-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/flag-status vs http://hl7.org/fhir/flag-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-flag-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-fm-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fm-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/fm-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/fm-status vs http://hl7.org/fhir/fm-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-fm-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-focus-characteristic-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-focus-characteristic-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/focus-characteristic-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/focus-characteristic-code|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/focus-characteristic-code)"
            },
            "expression": [
              "CodeSystem/focus-characteristic-code: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-forms",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-forms",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/forms: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/forms vs http://terminology.hl7.org/CodeSystem/forms-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-forms"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-fundsreserve",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-fundsreserve",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/fundsreserve: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-gender-identity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-gender-identity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/gender-identity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/gender-identity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/gender-identity vs http://hl7.org/fhir/gender-identity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-gender-identity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-goal-achievement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-achievement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-achievement: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-goal-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3644
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-goal-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/goal-priority: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-goal-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-goal-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/goal-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/goal-status vs http://hl7.org/fhir/goal-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-goal-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-graph-compartment-rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-graph-compartment-rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4788
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/graph-compartment-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/graph-compartment-rule vs http://hl7.org/fhir/graph-compartment-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-graph-compartment-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-graph-compartment-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-graph-compartment-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/graph-compartment-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/graph-compartment-use vs http://hl7.org/fhir/graph-compartment-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-graph-compartment-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-group-measure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-group-measure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/group-measure'"
            },
            "expression": [
              "CodeSystem/group-measure: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5790
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/group-measure: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/group-measure vs http://hl7.org/fhir/group-measure"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-group-measure"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-group-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-group-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/group-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/group-type vs http://hl7.org/fhir/group-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-group-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-guidance-response-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guidance-response-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5976
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/guidance-response-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/guidance-response-status vs http://hl7.org/fhir/guidance-response-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-guidance-response-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-guide-page-generation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guide-page-generation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/guide-page-generation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/guide-page-generation vs http://hl7.org/fhir/guide-page-generation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-guide-page-generation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-guide-parameter-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-guide-parameter-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11424
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/guide-parameter-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/guide-parameter-code vs http://hl7.org/fhir/guide-parameter-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-guide-parameter-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-handling-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-handling-condition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-history-absent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-history-absent-reason"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-history-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-history-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4988
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/history-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/history-status vs http://hl7.org/fhir/history-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-history-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-http-operations",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-http-operations",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/http-operations: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/http-operations vs http://hl7.org/fhir/http-operations"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-http-operations"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-http-verb",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-http-verb",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5443
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/http-verb: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/http-verb vs http://hl7.org/fhir/http-verb"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-http-verb"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-icd-10-procedures",
      "resource": {
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        "id": "CodeSystem-icd-10-procedures",
        "issue": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
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            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/icd-10-procedures: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/icd-10-procedures vs http://hl7.org/fhir/sid/ex-icd-10-procedures"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-icd-10-procedures"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-identifier-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-identifier-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4720
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/identifier-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/identifier-use vs http://hl7.org/fhir/identifier-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-identifier-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-identity-assuranceLevel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-identity-assuranceLevel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/identity-assuranceLevel: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/identity-assuranceLevel vs http://hl7.org/fhir/identity-assuranceLevel"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-identity-assuranceLevel"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-imagingstudy-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-imagingstudy-status",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'ii' means that the publisher should be 'HL7 International / Imaging Integration' but 'Imaging Integration' was found"
            },
            "expression": [
              "CodeSystem/imagingstudy-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/imagingstudy-status vs http://hl7.org/fhir/imagingstudy-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-imagingstudy-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-evaluation-dose-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-evaluation-dose-status-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-evaluation-dose-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-evaluation-dose-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-funding-source",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-funding-source"
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    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-origin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-origin"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-program-eligibility",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-program-eligibility"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-recommendation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-recommendation-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-immunization-subpotent-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-immunization-subpotent-reason"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ingredient-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ingredient-function",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/ingredient-function: CodeSystem"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/ingredient-function: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/ingredient-function vs http://hl7.org/fhir/ingredient-function"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-ingredient-function"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ingredient-manufacturer-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ingredient-manufacturer-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/ingredient-manufacturer-role: CodeSystem"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/ingredient-manufacturer-role: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/ingredient-manufacturer-role vs http://hl7.org/fhir/ingredient-manufacturer-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-ingredient-manufacturer-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-ingredient-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ingredient-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/ingredient-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/ingredient-role: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/ingredient-role vs http://hl7.org/fhir/ingredient-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-ingredient-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-insuranceplan-applicability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-insuranceplan-applicability",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/applicability'"
            },
            "expression": [
              "CodeSystem/insuranceplan-applicability: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/insuranceplan-applicability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3122
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/insuranceplan-applicability: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/insuranceplan-applicability vs http://hl7.org/fhir/insuranceplan-applicability"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-insuranceplan-applicability"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-insuranceplan-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-insuranceplan-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/insuranceplan-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/insuranceplan-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/insuranceplan-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/insuranceplan-type vs http://hl7.org/fhir/insuranceplan-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-insuranceplan-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-interaction-incidence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-interaction-incidence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/interaction-incidence: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/interaction-incidence: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/interaction-incidence vs http://hl7.org/fhir/interaction-incidence"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-interaction-incidence"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-interaction-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-interaction-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/interaction-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2912
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/interaction-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/interaction-type vs http://hl7.org/fhir/interaction-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-interaction-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-invoice-priceComponentType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-invoice-priceComponentType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/invoice-priceComponentType'"
            },
            "expression": [
              "CodeSystem/invoice-priceComponentType: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/invoice-priceComponentType: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/invoice-priceComponentType vs http://hl7.org/fhir/invoice-priceComponentType"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-invoice-priceComponentType"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-invoice-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-invoice-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5162
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/invoice-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/invoice-status vs http://hl7.org/fhir/invoice-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-invoice-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-iso-21089-lifecycle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-iso-21089-lifecycle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19498
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/iso-21089-lifecycle: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-issue-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-issue-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4960
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/issue-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/issue-severity vs http://hl7.org/fhir/issue-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-issue-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-issue-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-issue-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/issue-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/issue-type vs http://hl7.org/fhir/issue-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-issue-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-item-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-item-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/item-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/item-type vs http://hl7.org/fhir/item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-item-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-knowledge-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-knowledge-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4620
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/knowledge-resource-types'"
            },
            "expression": [
              "CodeSystem/knowledge-resource-types: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/knowledge-resource-types vs http://hl7.org/fhir/knowledge-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-knowledge-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-language-preference-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-language-preference-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/language-preference-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/language-preference-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/language-preference-type vs http://hl7.org/fhir/language-preference-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-language-preference-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-legal-status-of-supply",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-legal-status-of-supply",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/legal-status-of-supply: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/legal-status-of-supply: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/legal-status-of-supply vs http://hl7.org/fhir/legal-status-of-supply"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-legal-status-of-supply"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-library-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-library-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-link-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-link-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/link-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/link-type vs http://hl7.org/fhir/link-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-link-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-linkage-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-linkage-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/linkage-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/linkage-type vs http://hl7.org/fhir/linkage-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-linkage-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-list-empty-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-empty-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-list-example-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-example-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/list-example-codes vs http://terminology.hl7.org/CodeSystem/list-example-use-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-list-example-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-list-item-flag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-item-flag",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/list-item-flag vs urn:oid:1.2.36.1.2001.1001.101.104.16592"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-list-item-flag"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/list-mode vs http://hl7.org/fhir/list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-list-order",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-order"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-list-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-list-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/list-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/list-status vs http://hl7.org/fhir/list-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-list-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-location-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/location-mode vs http://hl7.org/fhir/location-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-location-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-location-physical-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-physical-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/location-physical-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-location-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-location-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/location-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/location-status vs http://hl7.org/fhir/location-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-location-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-manufactured-dose-form",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-manufactured-dose-form",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/manufactured-dose-form: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/manufactured-dose-form: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/manufactured-dose-form vs http://hl7.org/fhir/manufactured-dose-form"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-manufactured-dose-form"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-context-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/map-context-type'"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-context-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-context-type vs http://hl7.org/fhir/map-context-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-context-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-group-type-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-group-type-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-group-type-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-group-type-mode vs http://hl7.org/fhir/map-group-type-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-group-type-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-input-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-input-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-input-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-input-mode vs http://hl7.org/fhir/map-input-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-input-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-model-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-model-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5154
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-model-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-model-mode vs http://hl7.org/fhir/map-model-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-model-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-source-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-source-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-source-list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-source-list-mode vs http://hl7.org/fhir/map-source-list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-source-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-target-list-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-target-list-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-target-list-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-target-list-mode vs http://hl7.org/fhir/map-target-list-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-target-list-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-map-transform",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-map-transform",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/map-transform: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/map-transform vs http://hl7.org/fhir/map-transform"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-map-transform"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-data-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-data-usage"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-group-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-group-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/measure-group-example has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-group-example|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/measure-group-example)"
            },
            "expression": [
              "CodeSystem/measure-group-example: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-improvement-notation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-improvement-notation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-population",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-population"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-report-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-report-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3794
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-report-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/measure-report-status vs http://hl7.org/fhir/measure-report-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-measure-report-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-report-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-report-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cqi' means that the publisher should be 'HL7 International / Clinical Quality Information' but 'Clinical Quality Information' was found"
            },
            "expression": [
              "CodeSystem/measure-report-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/measure-report-type vs http://hl7.org/fhir/measure-report-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-measure-report-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-scoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-scoring",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/measure-scoring'"
            },
            "expression": [
              "CodeSystem/measure-scoring: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-stratifier-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-stratifier-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/measure-stratifier-example has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-stratifier-example|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/measure-stratifier-example)"
            },
            "expression": [
              "CodeSystem/measure-stratifier-example: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-supplemental-data-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-supplemental-data-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/measure-supplemental-data-example has an 'all system' value set of http://hl7.org/fhir/ValueSet/measure-supplemental-data-example|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/measure-supplemental-data-example)"
            },
            "expression": [
              "CodeSystem/measure-supplemental-data-example: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measure-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measure-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-measurereport-stratifier-value-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-measurereport-stratifier-value-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/measurereport-stratifier-value-example has an 'all system' value set of http://hl7.org/fhir/ValueSet/measurereport-stratifier-value-example|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/measurereport-stratifier-value-example)"
            },
            "expression": [
              "CodeSystem/measurereport-stratifier-value-example: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-med-admin-perform-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-med-admin-perform-function",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/med-admin-perform-function: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/med-admin-perform-function: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/med-admin-perform-function: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-media-modality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-media-modality"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-media-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-media-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/media-category'"
            },
            "expression": [
              "CodeSystem/media-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medication-admin-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-admin-category'"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-admin-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medication-admin-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-admin-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/medication-admin-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medication-admin-status)"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-admin-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medication-statement-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medication-statement-category'"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medication-statement-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-statement-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5569
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-statement-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medication-statement-status vs http://hl7.org/fhir/CodeSystem/medication-statement-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medication-statement-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medication-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medication-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medication-status vs http://hl7.org/fhir/CodeSystem/medication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationdispense-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medicationdispense-category'"
            },
            "expression": [
              "CodeSystem/medicationdispense-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationdispense-performer-function",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-performer-function",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-performer-function: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-performer-function: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3442
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-performer-function: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationdispense-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/medicationdispense-status-reason has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationdispense-status-reason|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-status-reason: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationdispense-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationdispense-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/medicationdispense-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationDispense-status, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medicationdispense-status)"
            },
            "expression": [
              "CodeSystem/medicationdispense-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6277
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationdispense-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationknowledge-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-characteristic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-characteristic: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationknowledge-characteristic: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationknowledge-characteristic: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationknowledge-package-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-package-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medicationknowledge-package-type'"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicationknowledge-package-type: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationknowledge-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationknowledge-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/medicationknowledge-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/medicationknowledge-status|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/medicationknowledge-status)"
            },
            "expression": [
              "CodeSystem/medicationknowledge-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationknowledge-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationknowledge-status: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationrequest-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/medicationrequest-category'"
            },
            "expression": [
              "CodeSystem/medicationrequest-category: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationrequest-course-of-therapy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-course-of-therapy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-course-of-therapy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-course-of-therapy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-course-of-therapy: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationrequest-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medicationrequest-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicationrequest-intent vs http://hl7.org/fhir/CodeSystem/medicationrequest-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicationrequest-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationrequest-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-status-reason: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-status-reason: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicationrequest-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicationrequest-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/medicationrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/medicationrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6508
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/medicationrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicationrequest-status vs http://hl7.org/fhir/CodeSystem/medicationrequest-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicationrequest-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-additional-monitoring",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-additional-monitoring",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-additional-monitoring: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-additional-monitoring vs http://hl7.org/fhir/medicinal-product-additional-monitoring"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-additional-monitoring"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-confidentiality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-confidentiality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-confidentiality: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-confidentiality vs http://hl7.org/fhir/medicinal-product-confidentiality"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-confidentiality"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-contact-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-contact-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-contact-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-contact-type vs http://hl7.org/fhir/medicinal-product-contact-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-contact-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-cross-reference-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-cross-reference-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-cross-reference-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-cross-reference-type vs http://hl7.org/fhir/medicinal-product-cross-reference-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-cross-reference-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-domain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-domain",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-domain: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-domain vs http://hl7.org/fhir/medicinal-product-domain"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-domain"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-name-part-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-name-part-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-part-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-part-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-name-part-type vs http://hl7.org/fhir/medicinal-product-name-part-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-name-part-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-name-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-name-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicinal-product-name-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-name-type vs http://hl7.org/fhir/medicinal-product-name-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-name-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-package-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-package-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-package-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5231
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/medicinal-product-package-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-package-type vs http://hl7.org/fhir/medicinal-product-package-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-package-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-pediatric-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-pediatric-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-pediatric-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-pediatric-use vs http://hl7.org/fhir/medicinal-product-pediatric-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-pediatric-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-special-measures",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-special-measures",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-special-measures: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-special-measures vs http://hl7.org/fhir/medicinal-product-special-measures"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-special-measures"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-medicinal-product-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-medicinal-product-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/medicinal-product-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/medicinal-product-type vs http://hl7.org/fhir/medicinal-product-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-medicinal-product-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-message-events",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-events",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_COMPLETE_AND_EMPTY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "When a CodeSystem has content = 'complete', it doesnt make sense for there to be no concepts defined"
            },
            "expression": [
              "CodeSystem/message-events: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/message-events vs http://hl7.org/fhir/message-events"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-message-events"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-message-reason-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-reason-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/message-reason-encounter vs http://terminology.hl7.org/CodeSystem/message-reasons-encounter"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-message-reason-encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-message-significance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-significance-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/message-significance-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/message-significance-category vs http://hl7.org/fhir/message-significance-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-message-significance-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-message-transport",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-message-transport",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/message-transport has an 'all system' value set of http://hl7.org/fhir/ValueSet/message-transport|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/message-transport)"
            },
            "expression": [
              "CodeSystem/message-transport: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-messageheader-response-request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-messageheader-response-request",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/messageheader-response-request: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/messageheader-response-request vs http://hl7.org/fhir/messageheader-response-request"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-messageheader-response-request"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-metric-calibration-state",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-calibration-state",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-calibration-state: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/metric-calibration-state vs http://hl7.org/fhir/metric-calibration-state"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-metric-calibration-state"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-metric-calibration-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-calibration-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4575
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-calibration-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/metric-calibration-type vs http://hl7.org/fhir/metric-calibration-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-metric-calibration-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-metric-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4808
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/metric-category vs http://hl7.org/fhir/metric-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-metric-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-metric-color",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-color",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/metric-color'"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6524
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-color: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/metric-color vs http://hl7.org/fhir/metric-color"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-metric-color"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-metric-operational-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-metric-operational-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "CodeSystem/metric-operational-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/metric-operational-status vs http://hl7.org/fhir/metric-operational-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-metric-operational-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-missing-tooth-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-missing-tooth-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/missing-tooth-reason vs http://terminology.hl7.org/CodeSystem/missingtoothreason"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-missing-tooth-reason"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-name-assembly-order",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-name-assembly-order",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/name-assembly-order: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-name-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-name-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/name-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/name-use vs http://hl7.org/fhir/name-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-name-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-namingsystem-identifier-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-namingsystem-identifier-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/namingsystem-identifier-type vs http://hl7.org/fhir/namingsystem-identifier-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-namingsystem-identifier-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-namingsystem-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-namingsystem-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/namingsystem-type vs http://hl7.org/fhir/namingsystem-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-namingsystem-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-narrative-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-narrative-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/narrative-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/narrative-status vs http://hl7.org/fhir/narrative-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-narrative-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-network-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-network-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/network-type'"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4949
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/network-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/network-type vs http://hl7.org/fhir/network-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-network-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-nhin-purposeofuse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nhin-purposeofuse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/nhin-purposeofuse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published code systems SHOULD conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/nhin-purposeofuse: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/nhin-purposeofuse vs http://healthit.gov/nhin/purposeofuse"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-nhin-purposeofuse"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-note-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-note-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/note-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/note-type vs http://hl7.org/fhir/note-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-note-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-nutritionproduct-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nutritionproduct-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/nutritionproduct-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/nutritionproduct-status vs http://hl7.org/fhir/nutritionproduct-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-nutritionproduct-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-object-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-object-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-observation-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-observation-range-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-range-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4316
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-range-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/observation-range-category vs http://hl7.org/fhir/observation-range-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-observation-range-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-observation-statistics",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-statistics",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/observation-statistics: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/observation-statistics vs http://hl7.org/fhir/observation-statistics"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-observation-statistics"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-observation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-observation-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10953
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/observation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/observation-status vs http://hl7.org/fhir/observation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-observation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-operation-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/operation-kind vs http://hl7.org/fhir/operation-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-operation-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-operation-parameter-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-operation-parameter-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/operation-parameter-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/operation-parameter-use vs http://hl7.org/fhir/operation-parameter-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-operation-parameter-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-organization-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/organization-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/organization-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5334
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/organization-role: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/organization-role vs http://hl7.org/fhir/organization-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-organization-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-organization-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/organization-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-orientation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-orientation-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/orientation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3471
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/orientation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/orientation-type vs http://hl7.org/fhir/orientation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-orientation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-package-characteristic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-package-characteristic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2430
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/package-characteristic'"
            },
            "expression": [
              "CodeSystem/package-characteristic: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/package-characteristic: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2624
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/package-characteristic: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/package-characteristic vs http://hl7.org/fhir/package-characteristic"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-package-characteristic"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-package-material",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-package-material",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/package-material: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/package-material: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/package-material vs http://hl7.org/fhir/package-material"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-package-material"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-package-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-package-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/package-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/package-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/package-type vs http://hl7.org/fhir/package-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-package-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-packaging-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-packaging-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/packaging-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/packaging-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/packaging-type vs http://hl7.org/fhir/packaging-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-packaging-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-participantrequired",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-participantrequired",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/participantrequired'"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4447
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/participantrequired: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/participantrequired vs http://hl7.org/fhir/participantrequired"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-participantrequired"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-participationstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-participationstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/participationstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/participationstatus vs http://hl7.org/fhir/participationstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-participationstatus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-payeetype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payeetype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/payeetype: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-payment-adjustment-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-adjustment-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-payment-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/payment-status vs http://terminology.hl7.org/CodeSystem/paymentstatus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-payment-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-payment-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-payment-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-permitted-data-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-permitted-data-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8451
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/permitted-data-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/permitted-data-type vs http://hl7.org/fhir/permitted-data-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-permitted-data-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-plan-definition-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-plan-definition-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-procedure-progress-status-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-procedure-progress-status-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/procedure-progress-status-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/procedure-progress-status-codes vs http://hl7.org/fhir/procedure-progress-status-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-procedure-progress-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-process-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-process-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/process-priority vs http://terminology.hl7.org/CodeSystem/processpriority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-process-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-product-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/product-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/product-category vs http://hl7.org/fhir/product-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-product-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-product-intended-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-intended-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/product-intended-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/product-intended-use: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/product-intended-use: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/product-intended-use vs http://hl7.org/fhir/product-intended-use"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-product-intended-use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-product-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3460
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/product-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/product-status vs http://hl7.org/fhir/product-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-product-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-product-storage-scale",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-product-storage-scale",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/product-storage-scale'"
            },
            "expression": [
              "CodeSystem/product-storage-scale: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/product-storage-scale: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/product-storage-scale vs http://hl7.org/fhir/product-storage-scale"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-product-storage-scale"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-program",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-program",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/program: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/program: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-property-representation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-property-representation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/property-representation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/property-representation vs http://hl7.org/fhir/property-representation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-property-representation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-provenance-agent-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-agent-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/provenance-participant-type'"
            },
            "expression": [
              "CodeSystem/provenance-agent-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/provenance-agent-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/provenance-agent-type vs http://terminology.hl7.org/CodeSystem/provenance-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-provenance-agent-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-provenance-entity-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-entity-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "CodeSystem/provenance-entity-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/provenance-entity-role vs http://hl7.org/fhir/provenance-entity-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-provenance-entity-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-provenance-participant-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provenance-participant-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5554
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/provenance-participant-role'"
            },
            "expression": [
              "CodeSystem/provenance-participant-role: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/provenance-participant-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/provenance-participant-role: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/provenance-participant-role vs http://hl7.org/fhir/provenance-participant-role"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-provenance-participant-role"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-provider-qualification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-provider-qualification",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/provider-qualification vs http://terminology.hl7.org/CodeSystem/ex-providerqualification"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-provider-qualification"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-publication-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-publication-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/publication-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/publication-status vs http://hl7.org/fhir/publication-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-publication-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-published-in-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-published-in-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/published-in-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/published-in-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/published-in-type)"
            },
            "expression": [
              "CodeSystem/published-in-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-quality-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-quality-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3482
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/quality-type'"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/quality-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/quality-type vs http://hl7.org/fhir/quality-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-quality-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-quantity-comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-quantity-comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/quantity-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/quantity-comparator vs http://hl7.org/fhir/quantity-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-quantity-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-questionnaire-answers-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-answers-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6072
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-answers-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/questionnaire-answers-status vs http://hl7.org/fhir/questionnaire-answers-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-questionnaire-answers-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-questionnaire-display-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-display-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-display-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/questionnaire-display-category vs http://hl7.org/fhir/questionnaire-display-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-questionnaire-display-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-questionnaire-enable-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-enable-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-enable-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/questionnaire-enable-behavior vs http://hl7.org/fhir/questionnaire-enable-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-questionnaire-enable-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-questionnaire-enable-operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-enable-operator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6974
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-enable-operator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/questionnaire-enable-operator vs http://hl7.org/fhir/questionnaire-enable-operator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-questionnaire-enable-operator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-questionnaire-item-control",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-questionnaire-item-control",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DISPLAY"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a display"
            },
            "expression": [
              "CodeSystem/questionnaire-item-control: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/questionnaire-item-control vs http://hl7.org/fhir/questionnaire-item-control"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-questionnaire-item-control"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-reaction-event-certainty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reaction-event-certainty",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/reaction-event-certainty: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/reaction-event-certainty vs http://hl7.org/fhir/reaction-event-certainty"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-reaction-event-certainty"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-reaction-event-severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reaction-event-severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/reaction-event-severity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/reaction-event-severity vs http://hl7.org/fhir/reaction-event-severity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-reaction-event-severity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-reason-medication-given-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reason-medication-given-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/reason-medication-given-codes vs http://terminology.hl7.org/CodeSystem/reason-medication-given"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-reason-medication-given-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-reason-medication-not-given-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reason-medication-not-given-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3286
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "CodeSystem/reason-medication-not-given-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/reason-medication-not-given-codes vs http://hl7.org/fhir/reason-medication-not-given"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-reason-medication-not-given-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-recommendation-strength",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-recommendation-strength",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/recommendation-strength'"
            },
            "expression": [
              "CodeSystem/recommendation-strength: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-reference-handling-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reference-handling-policy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/reference-handling-policy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/reference-handling-policy vs http://hl7.org/fhir/reference-handling-policy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-reference-handling-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-reference-version-rules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-reference-version-rules",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/reference-version-rules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/reference-version-rules vs http://hl7.org/fhir/reference-version-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-reference-version-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-referencerange-meaning",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-referencerange-meaning"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-regulated-authorization-basis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-regulated-authorization-basis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/regulated-authorization-basis: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/regulated-authorization-basis: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/regulated-authorization-basis: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/regulated-authorization-basis vs http://hl7.org/fhir/regulated-authorization-basis"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-regulated-authorization-basis"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-regulated-authorization-case-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-regulated-authorization-case-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/regulated-authorization-case-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/regulated-authorization-case-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/regulated-authorization-case-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/regulated-authorization-case-type vs http://hl7.org/fhir/regulated-authorization-case-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-regulated-authorization-case-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-regulated-authorization-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-regulated-authorization-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/regulated-authorization-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/regulated-authorization-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/regulated-authorization-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/regulated-authorization-type vs http://hl7.org/fhir/regulated-authorization-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-regulated-authorization-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-rejection-criteria",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-rejection-criteria"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-related-artifact-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-related-artifact-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/related-artifact-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/related-artifact-type vs http://hl7.org/fhir/related-artifact-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-related-artifact-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-related-claim-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-related-claim-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/related-claim-relationship vs http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-related-claim-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-relation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-relation-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/relation-type'"
            },
            "expression": [
              "CodeSystem/relation-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/relation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/relation-type vs http://hl7.org/fhir/relation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-relation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-relationship",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/relationship: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/relationship vs http://hl7.org/fhir/relationship"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-relationship"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-remittance-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-remittance-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/remittance-outcome: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/remittance-outcome vs http://hl7.org/fhir/remittance-outcome"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-remittance-outcome"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-report-action-result-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-action-result-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-action-result-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/report-action-result-codes vs http://hl7.org/fhir/report-action-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-report-action-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-report-participant-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-participant-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-participant-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/report-participant-type vs http://hl7.org/fhir/report-participant-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-report-participant-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-report-relation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-relation-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/report-relation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/report-relation-type vs http://hl7.org/fhir/report-relation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-report-relation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-report-result-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-result-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3999
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-result-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/report-result-codes vs http://hl7.org/fhir/report-result-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-report-result-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-report-status-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-report-status-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/report-status-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/report-status-codes vs http://hl7.org/fhir/report-status-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-report-status-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-repository-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-repository-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/repository-type'"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/repository-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/repository-type vs http://hl7.org/fhir/repository-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-repository-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-request-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/request-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/request-intent vs http://hl7.org/fhir/request-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-request-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-request-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-priority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/request-priority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/request-priority vs http://hl7.org/fhir/request-priority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-request-priority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-request-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8652
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/request-resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/request-resource-types has an 'all system' value set of http://hl7.org/fhir/ValueSet/request-resource-types|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/fhir-types)"
            },
            "expression": [
              "CodeSystem/request-resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/request-resource-types vs http://hl7.org/fhir/request-resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-request-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-request-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-request-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5918
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "CodeSystem/request-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/request-status vs http://hl7.org/fhir/request-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-request-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-element-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-element-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/research-element-type'"
            },
            "expression": [
              "CodeSystem/research-element-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/research-element-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/research-element-type vs http://hl7.org/fhir/research-element-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-research-element-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-study-objective-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-objective-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/research-study-objective-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-objective-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-objective-type)"
            },
            "expression": [
              "CodeSystem/research-study-objective-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-study-phase",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-phase",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/research-study-phase has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-phase|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-phase)"
            },
            "expression": [
              "CodeSystem/research-study-phase: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-study-prim-purp-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-prim-purp-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/research-study-prim-purp-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-prim-purp-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-prim-purp-type)"
            },
            "expression": [
              "CodeSystem/research-study-prim-purp-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-study-reason-stopped",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-reason-stopped",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/research-study-reason-stopped has an 'all system' value set of http://hl7.org/fhir/ValueSet/research-study-reason-stopped|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/research-study-reason-stopped)"
            },
            "expression": [
              "CodeSystem/research-study-reason-stopped: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-study-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-study-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/research-study-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/research-study-status vs http://hl7.org/fhir/research-study-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-research-study-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-research-subject-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-research-subject-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/research-subject-status'"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/research-subject-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/research-subject-status vs http://hl7.org/fhir/research-subject-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-research-subject-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-resource-aggregation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-aggregation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/resource-aggregation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/resource-aggregation-mode vs http://hl7.org/fhir/resource-aggregation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-resource-aggregation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-resource-security-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-security-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-security-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/resource-security-category vs http://hl7.org/fhir/resource-security-category"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-resource-security-category"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-resource-slicing-rules",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-slicing-rules",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-slicing-rules: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/resource-slicing-rules vs http://hl7.org/fhir/resource-slicing-rules"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-resource-slicing-rules"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-resource-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/resource-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'mnm' means that the publisher should be 'HL7 International / Modeling and Methodology' but 'Modeling and Methodology' was found"
            },
            "expression": [
              "CodeSystem/resource-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15472
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/resource-status: CodeSystem.concept[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/resource-status vs http://hl7.org/fhir/resource-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-resource-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-resource-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 180668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/resource-types: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/resource-types vs http://hl7.org/fhir/resource-types"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-resource-types"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-resource-validation-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-resource-validation-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/resource-validation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/resource-validation-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/resource-validation-mode vs http://hl7.org/fhir/resource-validation-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-resource-validation-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-response-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-response-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'inm' means that the publisher should be 'HL7 International / Infrastructure And Messaging' but 'Infrastructure And Messaging' was found"
            },
            "expression": [
              "CodeSystem/response-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/response-code vs http://hl7.org/fhir/response-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-response-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-restful-capability-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-capability-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/restful-capability-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/restful-capability-mode vs http://hl7.org/fhir/restful-capability-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-restful-capability-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-restful-interaction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-interaction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/restful-interaction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/restful-interaction vs http://hl7.org/fhir/restful-interaction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-restful-interaction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-restful-security-service",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-restful-security-service",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/restful-security-service has an 'all system' value set of http://hl7.org/fhir/ValueSet/restful-security-service|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/restful-security-service)"
            },
            "expression": [
              "CodeSystem/restful-security-service: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-risk-probability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-risk-probability"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-search-comparator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-comparator",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-comparator: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/search-comparator vs http://hl7.org/fhir/search-comparator"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-search-comparator"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-search-entry-mode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-entry-mode",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-entry-mode: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/search-entry-mode vs http://hl7.org/fhir/search-entry-mode"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-search-entry-mode"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-search-modifier-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-modifier-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-modifier-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/search-modifier-code vs http://hl7.org/fhir/search-modifier-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-search-modifier-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-search-param-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-param-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-param-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/search-param-type vs http://hl7.org/fhir/search-param-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-search-param-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-search-xpath-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-search-xpath-usage",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/search-xpath-usage'"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5612
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/search-xpath-usage: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/search-xpath-usage vs http://hl7.org/fhir/search-xpath-usage"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-search-xpath-usage"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-secondary-finding",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-secondary-finding",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/secondary-finding: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/secondary-finding vs http://hl7.org/fhir/secondary-finding"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-secondary-finding"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-sequence-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-sequence-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/sequence-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/sequence-type vs http://hl7.org/fhir/sequence-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-sequence-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-service-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-service-place",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-place",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/service-place vs http://terminology.hl7.org/CodeSystem/ex-serviceplace"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-service-place"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-service-provision-conditions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-provision-conditions"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-service-referral-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-referral-method"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-service-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 205688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/service-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-service-uscls",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-service-uscls",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/service-uscls vs http://terminology.hl7.org/CodeSystem/ex-USCLS"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-service-uscls"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-signature-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-signature-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_Invalid"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem urn:iso-astm:E1762-95:2013 has an 'all system' value set of http://hl7.org/fhir/ValueSet/signature-type|5.0.0, but the value set doesn't have a single include"
            },
            "expression": [
              "CodeSystem/signature-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/signature-type vs urn:iso-astm:E1762-95:2013"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-signature-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-slotstatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-slotstatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/slotstatus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
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            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/704325000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[78].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/704326004'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[79].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/704327008'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[80].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28382
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/704346009'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[81].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/704347000'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[82].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/704647008'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[83].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/field/Concept.definitionStatusId' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://.........?' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the URI 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/field/Concept.moduleId' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the URI 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_DUPLICATE_URI"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "A property is already defined with the URI 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/42752001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/47429007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/116676008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/116686009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118168003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118169006' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118170007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/118171006' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/123005000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/127489000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/131195008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246075003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246090004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246093002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246112005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246454002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246456000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246501002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246513007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/246514001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/255234002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/260507000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/260686004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/260870009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[30]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/263502005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[31]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/272741003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[32]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363589002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[33]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363698007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[34]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363699004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[35]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363700003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[36]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363701004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[37]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363702006' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[38]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363703001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[39]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363704007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[40]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363705008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[41]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363709002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[42]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363710007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[43]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363713009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[44]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/363714003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[45]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370129005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[46]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370130000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[47]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370131001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[48]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370132008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[49]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370133003' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[50]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370134009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[51]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/370135005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[52]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405813007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[53]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405814001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[54]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405815000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[55]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/405816004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[56]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408729009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[57]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408730004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[58]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408731000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[59]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/408732007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[60]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/410675002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[61]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/411116001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[62]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/418775008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[63]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/419066007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[64]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424226004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[65]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424244007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[66]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424361007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[67]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/424876005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[68]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/425391005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[69]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/609096000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[70]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704318007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[71]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704319004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[72]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704320005' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[73]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704321009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[74]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704322002' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[75]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704323007' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[76]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704324001' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[77]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
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                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704325000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[78]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704326004' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[79]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704327008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[80]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704346009' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[81]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704347000' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[82]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_URI_UNKNOWN_TYPE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The property uri 'http://snomed.info/id/704647008' is not known, so the property values can not be validated fully; unless specified elsewhere, codes will be treated as internal references"
            },
            "expression": [
              "CodeSystem/snomedct: CodeSystem.property[83]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/snomedct vs http://snomed.info/sct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-snomedct"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-sort-direction",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-sort-direction",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/sort-direction: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/sort-direction vs http://hl7.org/fhir/sort-direction"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-sort-direction"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-spdx-license",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-spdx-license",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 202619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/spdx-license: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/spdx-license vs http://hl7.org/fhir/spdx-license"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-spdx-license"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-special-values",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-special-values",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3821
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/special-values'"
            },
            "expression": [
              "CodeSystem/special-values: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-specimen-contained-preference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specimen-contained-preference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/specimen-contained-preference: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/specimen-contained-preference vs http://hl7.org/fhir/specimen-contained-preference"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-specimen-contained-preference"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-specimen-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-specimen-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/specimen-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/specimen-status vs http://hl7.org/fhir/specimen-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-specimen-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-standards-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-standards-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/standards-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/standards-status vs http://hl7.org/fhir/standards-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-standards-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-statistic-model-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-statistic-model-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/statistic-model-code has an 'all system' value set of http://hl7.org/fhir/ValueSet/statistic-model-code|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/statistic-model-code)"
            },
            "expression": [
              "CodeSystem/statistic-model-code: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-statistic-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-statistic-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-strand-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-strand-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/strand-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3355
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "CodeSystem/strand-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/strand-type vs http://hl7.org/fhir/strand-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-strand-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-structure-definition-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-structure-definition-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/structure-definition-kind: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/structure-definition-kind vs http://hl7.org/fhir/structure-definition-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-structure-definition-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-study-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-study-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/study-type'"
            },
            "expression": [
              "CodeSystem/study-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-subscriber-relationship",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscriber-relationship"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-subscription-channel-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-channel-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6052
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-channel-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/subscription-channel-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/subscription-channel-type|5.0.0, but the value set doesn't have a matching system (http://terminology.hl7.org/CodeSystem/subscription-channel-type)"
            },
            "expression": [
              "CodeSystem/subscription-channel-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/subscription-channel-type vs http://hl7.org/fhir/subscription-channel-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-subscription-channel-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-subscription-notification-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-notification-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-notification-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/subscription-notification-type vs http://hl7.org/fhir/subscription-notification-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-subscription-notification-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-subscription-search-modifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-search-modifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/subscription-search-modifier: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-subscription-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscription-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscription-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/subscription-status vs http://hl7.org/fhir/subscription-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-subscription-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-subscriptiontopic-cr-behavior",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-subscriptiontopic-cr-behavior",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/subscriptiontopic-cr-behavior: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/subscriptiontopic-cr-behavior vs http://hl7.org/fhir/subscriptiontopic-cr-behavior"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-subscriptiontopic-cr-behavior"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-amount-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-amount-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-amount-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-amount-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-amount-type vs http://hl7.org/fhir/substance-amount-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-amount-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-grade",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-grade: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-grade: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-grade: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-grade vs http://hl7.org/fhir/substance-grade"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-grade"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-name-authority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-name-authority",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-name-authority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-name-authority: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-name-authority: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-name-authority vs http://hl7.org/fhir/substance-name-authority"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-name-authority"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-name-domain",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-name-domain",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-name-domain: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-name-domain: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-name-domain: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-name-domain vs http://hl7.org/fhir/substance-name-domain"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-name-domain"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-name-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-name-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-name-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-name-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-name-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-name-type vs http://hl7.org/fhir/substance-name-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-name-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-optical-activity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-optical-activity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-optical-activity: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-optical-activity: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-optical-activity vs http://hl7.org/fhir/substance-optical-activity"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-optical-activity"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-relationship-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-relationship-type vs http://hl7.org/fhir/substance-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-representation-format",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-representation-format",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-representation-format: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-representation-format: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-representation-format: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-representation-format vs http://hl7.org/fhir/substance-representation-format"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-representation-format"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-representation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-representation-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-representation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-representation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-representation-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-representation-type vs http://hl7.org/fhir/substance-representation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-representation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-source-material-genus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-source-material-genus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-source-material-genus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-source-material-genus: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-source-material-genus: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-source-material-genus vs http://hl7.org/fhir/substance-source-material-genus"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-source-material-genus"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-source-material-part",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-source-material-part",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-source-material-part: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-source-material-part: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-source-material-part: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-source-material-part vs http://hl7.org/fhir/substance-source-material-part"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-source-material-part"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-source-material-species",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-source-material-species",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-source-material-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-source-material-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-source-material-species: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-source-material-species vs http://hl7.org/fhir/substance-source-material-species"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-source-material-species"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-source-material-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-source-material-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-source-material-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-source-material-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2530
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-source-material-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-source-material-type vs http://hl7.org/fhir/substance-source-material-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-source-material-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3841
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/substance-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-status vs http://hl7.org/fhir/substance-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-stereochemistry",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-stereochemistry",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-stereochemistry: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2668
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-stereochemistry: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-stereochemistry vs http://hl7.org/fhir/substance-stereochemistry"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-stereochemistry"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-structure-technique",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-structure-technique",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-structure-technique: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-structure-technique: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-structure-technique: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-structure-technique vs http://hl7.org/fhir/substance-structure-technique"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-structure-technique"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-weight-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-weight-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-weight-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-weight-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4313
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-weight-method: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-weight-method vs http://hl7.org/fhir/substance-weight-method"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-weight-method"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-substance-weight-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-substance-weight-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/substance-weight-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/substance-weight-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/substance-weight-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/substance-weight-type vs http://hl7.org/fhir/substance-weight-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-substance-weight-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-summary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/CodeSystem/contexttype' could not be found, so the code cannot be validated"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem.useContext[0].code.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1365
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/summary: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/summary vs http://hl7.org/fhir/CodeSystem/summary"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-summary"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-supplydelivery-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplydelivery-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4983
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplydelivery-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/supplydelivery-status vs http://hl7.org/fhir/supplydelivery-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-supplydelivery-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-supplydelivery-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplydelivery-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/supplydelivery-type vs http://terminology.hl7.org/CodeSystem/supply-item-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-supplydelivery-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-supplyrequest-kind",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-kind",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/supplyrequest-kind vs http://terminology.hl7.org/CodeSystem/supply-kind"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-supplyrequest-kind"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-supplyrequest-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-reason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-supplyrequest-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-supplyrequest-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7557
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/supplyrequest-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/supplyrequest-status vs http://hl7.org/fhir/supplyrequest-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-supplyrequest-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-surface",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-surface",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/surface vs http://terminology.hl7.org/CodeSystem/FDI-surface"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-surface"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-synthesis-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-synthesis-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5873
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/synthesis-type'"
            },
            "expression": [
              "CodeSystem/synthesis-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-target-species",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-target-species",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/target-species: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/target-species: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/target-species vs http://hl7.org/fhir/target-species"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-target-species"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-task-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/task-code: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/task-code vs http://hl7.org/fhir/CodeSystem/task-code"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-task-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-task-intent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-intent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/task-intent: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/task-intent vs http://hl7.org/fhir/task-intent"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-task-intent"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-task-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-task-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/task-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/task-status vs http://hl7.org/fhir/task-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-task-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-template-status-code",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-template-status-code",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/template-status-code vs urn:oid:2.16.840.1.113883.3.1937.98.5.8"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-template-status-code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-testscript-operation-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-operation-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/testscript-operation-codes: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-testscript-profile-destination-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-profile-destination-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/testscript-profile-destination-types: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-testscript-profile-origin-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-testscript-profile-origin-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2640
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/testscript-profile-origin-types: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-therapy-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-therapy-relationship-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: therapy-relationship-type-indicated-only-before (2x)"
            },
            "expression": [
              "CodeSystem/therapy-relationship-type: CodeSystem.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-1"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-1: 'Within a code system definition, all the codes SHALL be unique' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/therapy-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/therapy-relationship-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_DUPLICATE_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code 'indicated-only-before' has already been defined"
            },
            "expression": [
              "CodeSystem/therapy-relationship-type: CodeSystem.concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/therapy-relationship-type vs http://hl7.org/fhir/therapy-relationship-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-therapy-relationship-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-title-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-title-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://terminology.hl7.org/CodeSystem/title-type has an 'all system' value set of http://hl7.org/fhir/ValueSet/title-type|5.0.0, but the value set doesn't have a matching system (http://hl7.org/fhir/title-type)"
            },
            "expression": [
              "CodeSystem/title-type: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-tooth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-tooth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/tooth vs http://terminology.hl7.org/CodeSystem/ex-tooth"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-tooth"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-trigger-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-trigger-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-2"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-2: 'If there is an explicit hierarchy, a hierarchyMeaning should be provided' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the hierarchyMeaning element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/trigger-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/trigger-type vs http://hl7.org/fhir/trigger-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-trigger-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-type-derivation-rule",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-type-derivation-rule",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/type-derivation-rule: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/type-derivation-rule vs http://hl7.org/fhir/type-derivation-rule"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-type-derivation-rule"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-udi-entry-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-udi-entry-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "CodeSystem/udi-entry-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/udi-entry-type vs http://hl7.org/fhir/udi-entry-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-udi-entry-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-undesirable-effect-frequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-undesirable-effect-frequency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/undesirable-effect-frequency: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/undesirable-effect-frequency: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/undesirable-effect-frequency vs http://hl7.org/fhir/undesirable-effect-frequency"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-undesirable-effect-frequency"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-unit-of-presentation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-unit-of-presentation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/unit-of-presentation: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/unit-of-presentation: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/unit-of-presentation vs http://hl7.org/fhir/unit-of-presentation"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-unit-of-presentation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-usage-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-usage-context-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5842
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/usage-context-type'"
            },
            "expression": [
              "CodeSystem/usage-context-type: CodeSystem.valueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-variable-handling",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-variable-handling",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/variable-handling: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/variable-handling vs http://hl7.org/fhir/variable-handling"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-variable-handling"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-variable-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-variable-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-variable-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-variable-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/variable-type'"
            },
            "expression": [
              "CodeSystem/variable-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "CodeSystem/variable-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/variable-type vs http://hl7.org/fhir/variable-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-variable-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-can-push-updates",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-can-push-updates",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/can-push-updates'"
            },
            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-can-push-updates: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-can-push-updates vs http://hl7.org/fhir/verificationresult-can-push-updates"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-can-push-updates"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-communication-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-communication-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-communication-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-communication-method: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-communication-method vs http://hl7.org/fhir/verificationresult-communication-method"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-communication-method"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-failure-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-failure-action",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2378
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/failure-action'"
            },
            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-failure-action: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-failure-action vs http://hl7.org/fhir/verificationresult-failure-action"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-failure-action"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-need",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-need",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2288
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/need'"
            },
            "expression": [
              "CodeSystem/verificationresult-need: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-need: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-need: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-need: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-need vs http://hl7.org/fhir/verificationresult-need"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-need"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-primary-source-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-primary-source-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/primary-source-type'"
            },
            "expression": [
              "CodeSystem/verificationresult-primary-source-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-primary-source-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-primary-source-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-primary-source-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-primary-source-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-primary-source-type vs http://hl7.org/fhir/verificationresult-primary-source-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-primary-source-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-push-type-available",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-push-type-available",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/push-type-available'"
            },
            "expression": [
              "CodeSystem/verificationresult-push-type-available: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-push-type-available: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-push-type-available: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-push-type-available: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-push-type-available: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-push-type-available vs http://hl7.org/fhir/verificationresult-push-type-available"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-push-type-available"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CodeSystem_CS_VS_WrongSystem"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "CodeSystem http://hl7.org/fhir/verificationresult-status has an 'all system' value set of http://hl7.org/fhir/ValueSet/status, but the value set doesn't have a matching system (http://hl7.org/fhir/CodeSystem/verificationresult-status)"
            },
            "expression": [
              "CodeSystem/verificationresult-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-status vs http://hl7.org/fhir/verificationresult-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-validation-process",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-validation-process",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/validation-process'"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-process: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-process: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-process: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-process: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-process: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-validation-process vs http://hl7.org/fhir/verificationresult-validation-process"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-validation-process"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-validation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-validation-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/validation-status'"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2649
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-status: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-validation-status vs http://hl7.org/fhir/verificationresult-validation-status"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-validation-status"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-verificationresult-validation-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-verificationresult-validation-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/validation-type'"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-type: CodeSystem.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#cnl-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/CodeSystem)"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/verificationresult-validation-type: CodeSystem.concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/verificationresult-validation-type vs http://hl7.org/fhir/verificationresult-validation-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-verificationresult-validation-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-versioning-policy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-versioning-policy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/versioning-policy: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/versioning-policy vs http://hl7.org/fhir/versioning-policy"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-versioning-policy"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-vision-base-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-base-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-base-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/vision-base-codes vs http://hl7.org/fhir/vision-base-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-vision-base-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-vision-eye-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-eye-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "CodeSystem/vision-eye-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/vision-eye-codes vs http://hl7.org/fhir/vision-eye-codes"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-vision-eye-codes"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-vision-product",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vision-product",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/vision-product vs http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-vision-product"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-w3c-provenance-activity-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-w3c-provenance-activity-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15105
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.title is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/w3c-provenance-activity-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/w3c-provenance-activity-type vs http://hl7.org/fhir/w3c-provenance-activity-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-w3c-provenance-activity-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/CodeSystem-warning-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-warning-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6022
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "CodeSystem/warning-type: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/4.3/CodeSystem/warning-type vs http://hl7.org/fhir/warning-type"
            },
            "expression": [
              "/Users/grahamegrieve/temp/xver/fhir/hl7.fhir.uv.xver-r4b.r5/input/vocabulary/CodeSystem-warning-type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-abstract-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-abstract-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-abstract-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-account-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-account-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-account-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-action-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-action-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-action-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-action-participant-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-action-participant-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-action-participant-role-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2565
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "informational",
            "details": {
              "text": "This value set has a single include with multiple imported value sets. Per issue https://jira.hl7.org/browse/FHIR-25179, there has been confusion in the past whether these value sets are unioned or intersectioned. If this value set is contained in a package published prior to March 31 2022, it will be treated as a union, otherwise it will be treated as an intersection. If want a union, split the value set imports across multiple includes"
            },
            "expression": [
              "ValueSet/R4B-action-participant-role-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-action-reason-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-action-reason-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3632
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-action-reason-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-additional-instruction-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-additional-instruction-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-additional-instruction-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adjudication-error-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adjudication-error-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-adjudication-error-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adjudication-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adjudication-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-adjudication-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adjudication-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adjudication-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2815
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-adjudication-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-administrable-dose-form-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-administrable-dose-form-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55348
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-administrable-dose-form-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-administration-method-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-administration-method-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-administration-method-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-causality-assess-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-causality-assess-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-causality-assess-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-causality-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-causality-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-causality-method-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-outcome-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-seriousness-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-seriousness-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-seriousness-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-severity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-severity-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-adverse-event-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-adverse-event-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2157
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-adverse-event-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-age-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-age-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-age-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-all-distance-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-all-distance-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-all-distance-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-all-time-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-all-time-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-all-time-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-all-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-all-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-all-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-allelename-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-allelename-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.ebi.ac.uk/ipd/imgt/hla'"
            },
            "expression": [
              "ValueSet/R4B-allelename-for-R5: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-allelename-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: Unable to provide support for code system http://www.ebi.ac.uk/ipd/imgt/hla"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-allelename-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-allergen-class-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-allergen-class-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-allergen-class-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R4B-allergen-class-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: The filter \"parent = 406455002\" from the value set http://hl7.org/fhir/4.3/ValueSet/R4B-allergen-class-for-R5 was not understood in the context of http://snomed.info/sct (3)"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-allergen-class-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-allergyintolerance-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-allergyintolerance-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-allergyintolerance-code-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('418038007')"
            },
            "expression": [
              "ValueSet/R4B-allergyintolerance-code-for-R5: ValueSet.compose.include[1].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('267425008')"
            },
            "expression": [
              "ValueSet/R4B-allergyintolerance-code-for-R5: ValueSet.compose.include[2].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('190753003')"
            },
            "expression": [
              "ValueSet/R4B-allergyintolerance-code-for-R5: ValueSet.compose.include[5].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('413427002')"
            },
            "expression": [
              "ValueSet/R4B-allergyintolerance-code-for-R5: ValueSet.compose.include[6].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-animal-breeds-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-animal-breeds-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1067863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-animal-breeds-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-animal-genderstatus-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-animal-genderstatus-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-animal-genderstatus-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-animal-species-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-animal-species-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6047
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '125097000' is not valid in the system http://snomed.info/sct version 4.3.0 (125097000)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4755
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '125099002' is not valid in the system http://snomed.info/sct version 4.3.0 (125099002)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4791
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '34618005' is not valid in the system http://snomed.info/sct version 4.3.0 (34618005)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '425134008' is not valid in the system http://snomed.info/sct version 4.3.0 (425134008)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '47290002' is not valid in the system http://snomed.info/sct version 4.3.0 (47290002)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '15778005' is not valid in the system http://snomed.info/sct version 4.3.0 (15778005)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '396620009' is not valid in the system http://snomed.info/sct version 4.3.0 (396620009)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4986
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '388445009' is not valid in the system http://snomed.info/sct version 4.3.0 (388445009)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '85626006' is not valid in the system http://snomed.info/sct version 4.3.0 (85626006)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '132950000' is not valid in the system http://snomed.info/sct version 4.3.0 (132950000)"
            },
            "expression": [
              "ValueSet/R4B-animal-species-for-R5: ValueSet.compose.include[0].concept[9]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-approach-site-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-approach-site-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-approach-site-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-article-url-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-article-url-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11566
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-article-url-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-artifact-relationship-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-artifact-relationship-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16636
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-artifact-relationship-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-assert-response-code-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-assert-response-code-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4056
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-assert-response-code-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-audit-entity-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-audit-entity-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-audit-entity-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-audit-event-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-audit-event-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-audit-event-outcome-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-audit-event-sub-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-audit-event-sub-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7493
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-audit-event-sub-type-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/restful-interaction'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.0.0', found versions: 4.3.0, 5.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/restful-interaction' to 'http://hl7.org/fhir/restful-interaction|5.0.0'"
            },
            "expression": [
              "ValueSet/R4B-audit-event-sub-type-for-R5: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-audit-event-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-audit-event-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5965
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-audit-event-type-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/audit-event-type'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 1.0.0, 4.3.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/audit-event-type' to 'http://terminology.hl7.org/CodeSystem/audit-event-type|4.3.0'"
            },
            "expression": [
              "ValueSet/R4B-audit-event-type-for-R5: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 1.0.0, 4.3.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle' to 'http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle|4.3.0'"
            },
            "expression": [
              "ValueSet/R4B-audit-event-type-for-R5: ValueSet.compose.include[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-body-site-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-body-site-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-body-site-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-bodysite-laterality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-bodysite-laterality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'ii' means that the publisher should be 'HL7 International / Imaging Integration' but 'Imaging Integration' was found"
            },
            "expression": [
              "ValueSet/R4B-bodysite-laterality-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Error performing tx5 operation 'batch-validate-code: tx.fhir.org' (parameters = \"\")"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error performing tx5 operation 'batch-validate-code: tx.fhir.org' (parameters = \"\")"
            },
            "expression": [
              "ValueSet/R4B-bodysite-laterality-for-R5: ValueSet.compose.include[0].concept[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-bodystructure-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-bodystructure-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-bodystructure-code-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'concept' must be a valid code from the system 'http://snomed.info/sct', and '49755003' is not (Error performing tx5 operation 'validate-code: tx.fhir.org' (parameters = \"\"))"
            },
            "expression": [
              "ValueSet/R4B-bodystructure-code-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-bodystructure-relative-location-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-bodystructure-relative-location-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3891
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-bodystructure-relative-location-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-c80-facilitycodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-c80-facilitycodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4B-c80-facilitycodes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-c80-practice-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-c80-practice-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4B-c80-practice-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-care-plan-activity-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-care-plan-activity-kind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-care-plan-activity-kind-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-care-plan-activity-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-care-plan-activity-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-care-plan-activity-outcome-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-care-plan-activity-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-care-plan-activity-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7766
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-care-plan-activity-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-care-plan-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-care-plan-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2150
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-care-plan-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-care-team-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-care-team-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-care-team-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-careteam-participant-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-careteam-participant-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-careteam-participant-role-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('394730007')"
            },
            "expression": [
              "ValueSet/R4B-careteam-participant-role-for-R5: ValueSet.compose.include[2].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-characteristic-combination-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-characteristic-combination-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3372
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-characteristic-combination-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-citation-artifact-classifier-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-citation-artifact-classifier-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-citation-artifact-classifier-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-clinical-findings-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-clinical-findings-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-clinical-findings-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-clinicalimpression-prognosis-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-clinicalimpression-prognosis-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-clinicalimpression-prognosis-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-clinvar-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-clinvar-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-clinvar-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R4B-clinvar-for-R5: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: Unable to provide support for code system http://www.ncbi.nlm.nih.gov/clinvar"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-clinvar-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-concept-map-equivalence-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-concept-map-equivalence-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-concept-map-equivalence-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-conceptmap-unmapped-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-conceptmap-unmapped-mode-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-cause-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-cause-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-cause-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-outcome-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-outcome-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-predecessor-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-predecessor-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-predecessor-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-severity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-severity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-severity-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-stage-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-stage-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-stage-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-condition-stage-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-condition-stage-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-condition-stage-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-consent-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-consent-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R4B-consent-category-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3000
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/consentcategorycodes'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 1.0.1, 4.3.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/consentcategorycodes' to 'http://terminology.hl7.org/CodeSystem/consentcategorycodes|4.3.0'"
            },
            "expression": [
              "ValueSet/R4B-consent-category-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-consent-content-class-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-consent-content-class-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/ValueSet/formatcodes'"
            },
            "expression": [
              "ValueSet/R4B-consent-content-class-for-R5: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-consent-content-class-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://hl7.org/fhir/ValueSet/formatcodes could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R4B-consent-content-class-for-R5: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://hl7.org/fhir/ValueSet/formatcodes'"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-consent-content-class-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-consent-content-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-consent-content-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R4B-consent-content-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-consent-scope-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-consent-scope-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R4B-consent-scope-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-consent-state-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-consent-state-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2747
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cbcc' means that the publisher should be 'HL7 International / Community Based Collaborative Care' but 'Community Based Collaborative Care' was found"
            },
            "expression": [
              "ValueSet/R4B-consent-state-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-consistency-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-consistency-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3024
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-consistency-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-container-material-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-container-material-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-container-material-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-country-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-country-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-country-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-cpt-all-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-cpt-all-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://example.org/fhir/CodeSystem/use-contexts' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ValueSet/R4B-cpt-all-for-R5: ValueSet.useContext[0].code.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-cpt-all-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-data-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-data-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-data-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-dataelement-sdcobjectclass-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-dataelement-sdcobjectclass-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-dataelement-sdcobjectclass-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-dataelement-sdcobjectclassproperty-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-dataelement-sdcobjectclassproperty-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-dataelement-sdcobjectclassproperty-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-defined-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-defined-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 134804
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-defined-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-designation-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-designation-use-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-device-action-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-device-action-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2317
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-device-action-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-device-kind-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-device-kind-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-device-kind-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-device-nametype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-device-nametype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-device-nametype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-device-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-device-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-device-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-device-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-device-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-device-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-devicemetric-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-devicemetric-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2318
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R4B-devicemetric-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-diagnostic-based-on-snomed-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-diagnostic-based-on-snomed-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-diagnostic-based-on-snomed-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-diagnostic-report-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-diagnostic-report-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-diagnostic-report-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-dicm-405-mediatype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-dicm-405-mediatype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-dicm-405-mediatype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-diet-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-diet-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2084
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-diet-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-disease-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-disease-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-disease-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-disease-symptom-procedure-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-disease-symptom-procedure-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-disease-symptom-procedure-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-distance-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-distance-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-distance-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-doc-classcodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-doc-classcodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9505
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4B-doc-classcodes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-doc-section-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-doc-section-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4B-doc-section-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-doc-typecodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-doc-typecodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sd' means that the publisher should be 'HL7 International / Structured Documents' but 'Structured Documents' was found"
            },
            "expression": [
              "ValueSet/R4B-doc-typecodes-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_CHANGE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'SCALE_TYP' must be a valid code from the system 'http://loinc.org', and 'Doc' is not (Unknown code 'Doc' in the CodeSystem 'http://loinc.org' version '2.81'). Note that this is change from the past; terminology servers are expected to still continue to support this filter"
            },
            "expression": [
              "ValueSet/R4B-doc-typecodes-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-duration-units-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-duration-units-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-duration-units-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-encounter-participant-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-encounter-participant-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-encounter-participant-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-encounter-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-encounter-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3179
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-encounter-status-for-R5",
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        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-encounter-status-for-R5",
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          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-encounter-status-for-R5: ValueSet"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-endpoint-connection-type-for-R5",
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        "resourceType": "OperationOutcome",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-endpoint-connection-type-for-R5: ValueSet"
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          }
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    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-endpoint-payload-type-for-R5",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.compose.include[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[1].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[2].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14354
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14525
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14869
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[8].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[9].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[10].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15547
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[12].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[13].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[14].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[16].system"
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          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[19].system"
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          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[20].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[21].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17314
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[22].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17487
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[23].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17674
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[24].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[25].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.19376.1.2.3'"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.expansion.contains[26].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'urn:oid:1.3.6.1.4.1.19376.1.2.3#4.3.0' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'urn:oid:1.3.6.1.4.1.19376.1.2.3' version '4.3.0' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4B-endpoint-payload-type-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-endpoint-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-endpoint-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-endpoint-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-entformula-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-entformula-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-entformula-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-event-or-request-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-event-or-request-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-event-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-event-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-ex-diagnosis-on-admission-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-ex-diagnosis-on-admission-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-ex-diagnosis-on-admission-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-ex-revenue-center-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-ex-revenue-center-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-ex-revenue-center-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-example-extensional-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-example-extensional-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4239
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-example-extensional-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-example-filter-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-example-filter-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2364
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-example-filter-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/CodeSystem/example'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.0.0', found versions: 4.3.0, 5.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/CodeSystem/example' to 'http://hl7.org/fhir/CodeSystem/example|5.0.0'"
            },
            "expression": [
              "ValueSet/R4B-example-filter-for-R5: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unsupported property value for a CodeSystem Property: boolean (and Error from https://tx.fhir.org/r5: The filter \"acme-plasma = true\" from the value set http://hl7.org/fhir/4.3/ValueSet/R4B-example-filter-for-R5 was not understood in the context of http://hl7.org/fhir/CodeSystem/example (3))"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-example-filter-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-example-hierarchical-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-example-hierarchical-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "XHTML_XHTML_DUPLICATE_IDS"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The XHTML  the resource contains more than one node for each of the following node ids and anchor names: R4B-example-hierarchical-for-R5-http://hl7.org/fhir/hacked-login (2x)"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.text.div"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5940
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6248
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[4].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[5].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6463
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[6].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6576
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[7].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6683
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[8].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[9].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[10].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[11].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/hacked'"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.expansion.contains[12].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7146
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'http://hl7.org/fhir/hacked#4.3.0' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://hl7.org/fhir/hacked' version '4.3.0' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4B-example-hierarchical-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-example-intensional-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-example-intensional-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2957
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-example-intensional-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_CHANGE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The value for a filter based on property 'parent' must be a valid code from the system 'http://loinc.org', and 'LP43571-6' is not (Unknown code 'LP43571-6' in the CodeSystem 'http://loinc.org' version '2.81'). Note that this is change from the past; terminology servers are expected to still continue to support this filter"
            },
            "expression": [
              "ValueSet/R4B-example-intensional-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-expression-language-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-expression-language-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-expression-language-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-feeding-device-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-feeding-device-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2642
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-feeding-device-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/feeding-device'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 4.3.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/feeding-device' to 'http://hl7.org/fhir/feeding-device|5.2.0'"
            },
            "expression": [
              "ValueSet/R4B-feeding-device-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-fhir-element-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-fhir-element-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-fhir-element-types-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-flag-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-flag-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-flag-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-flag-priority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-flag-priority-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4388
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-flag-priority-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-focal-subject-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-focal-subject-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-focal-subject-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3775
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE_VER"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '83418008' is not valid in the system http://snomed.info/sct version 4.3.0 (83418008)"
            },
            "expression": [
              "ValueSet/R4B-focal-subject-for-R5: ValueSet.compose.include[0].concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-food-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-food-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2090
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-food-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-formatcodes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-formatcodes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem#4.3.0' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem' version '4.3.0' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4B-formatcodes-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-gender-identity-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-gender-identity-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-gender-identity-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-genenames-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-genenames-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-genenames-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2193
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The value set references CodeSystem 'http://www.genenames.org' which has status 'not-present'"
            },
            "expression": [
              "ValueSet/R4B-genenames-for-R5: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: Unable to provide support for code system http://www.genenames.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-genenames-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-goal-start-event-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-goal-start-event-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2780
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-goal-start-event-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-graph-compartment-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-graph-compartment-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3279
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-graph-compartment-use-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-group-measure-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-group-measure-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-group-measure-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-group-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-group-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-group-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-icd-10-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-icd-10-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-icd-10-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-evaluation-dose-status-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-evaluation-dose-status-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-evaluation-dose-status-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-evaluation-target-disease-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-evaluation-target-disease-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-evaluation-target-disease-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-recommendation-date-criterion-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-recommendation-date-criterion-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-recommendation-date-criterion-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-recommendation-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-recommendation-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2562
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-recommendation-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-recommendation-target-disease-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-recommendation-target-disease-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-recommendation-target-disease-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-route-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-route-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-route-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-status-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-status-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-status-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-subpotent-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-subpotent-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-subpotent-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-immunization-target-disease-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-immunization-target-disease-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-immunization-target-disease-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-interactant-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-interactant-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-interactant-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-interaction-effect-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-interaction-effect-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-interaction-effect-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-interaction-management-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-interaction-management-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-interaction-management-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-investigation-sets-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-investigation-sets-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-investigation-sets-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-invoice-priceComponentType-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-invoice-priceComponentType-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-invoice-priceComponentType-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-iso3166-1-2-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-iso3166-1-2-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-iso3166-1-2-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-iso3166-1-3-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-iso3166-1-3-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-iso3166-1-3-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-iso3166-1-N-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-iso3166-1-N-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-iso3166-1-N-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-issue-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-issue-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-issue-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-item-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-item-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-item-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-jurisdiction-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-jurisdiction-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-knowledge-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-knowledge-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-language-preference-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-language-preference-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3724
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-language-preference-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-manifestation-or-symptom-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-manifestation-or-symptom-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2202
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-manifestation-or-symptom-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-map-context-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-map-context-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3180
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-map-context-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-map-group-type-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-map-group-type-mode-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-map-group-type-mode-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-measurement-property-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-measurement-property-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-measurement-property-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2184
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R4B-measurement-property-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: The filter \"parent = 118598001\" from the value set http://hl7.org/fhir/4.3/ValueSet/R4B-measurement-property-for-R5 was not understood in the context of http://snomed.info/sct (3)"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-measurement-property-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-media-modality-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-media-modality-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-media-modality-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-media-view-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-media-view-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-media-view-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medication-admin-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medication-admin-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medication-admin-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medication-as-needed-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medication-as-needed-reason-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-medication-as-needed-reason-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medication-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medication-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medication-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medication-form-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medication-form-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medication-form-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medication-statement-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medication-statement-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medication-statement-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medication-statement-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medication-statement-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6242
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medication-statement-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medicationdispense-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medicationdispense-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medicationdispense-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medicationrequest-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medicationrequest-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3732
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-medicationrequest-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-medicinal-product-special-measures-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-medicinal-product-special-measures-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-medicinal-product-special-measures-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-message-events-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-message-events-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2067
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-message-events-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/message-events'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.0.0', found versions: 4.3.0, 5.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/message-events' to 'http://hl7.org/fhir/message-events|5.0.0'"
            },
            "expression": [
              "ValueSet/R4B-message-events-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-metric-color-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-metric-color-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'dev' means that the publisher should be 'HL7 International / Health Care Devices' but 'Health Care Devices' was found"
            },
            "expression": [
              "ValueSet/R4B-metric-color-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-modified-foodtype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-modified-foodtype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-modified-foodtype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-name-assembly-order-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-name-assembly-order-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7228
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-name-assembly-order-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-name-part-qualifier-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-name-part-qualifier-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-name-part-qualifier-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-name-v3-representation-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-name-v3-representation-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-name-v3-representation-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-namingsystem-identifier-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-namingsystem-identifier-type-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-network-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-network-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-network-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-nutrient-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-nutrient-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-nutrient-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-nutrition-product-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-nutrition-product-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-nutrition-product-category-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2436
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R4B-nutrition-product-category-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2534
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R4B-nutrition-product-category-for-R5: ValueSet.compose.include[1].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: The filter \"parent = 327997002\" from the value set http://hl7.org/fhir/4.3/ValueSet/R4B-nutrition-product-category-for-R5 was not understood in the context of http://snomed.info/sct (3)"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-nutrition-product-category-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-nutrition-product-nutrient-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-nutrition-product-nutrient-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-nutrition-product-nutrient-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The property 'parent' is not known for the system 'http://snomed.info/sct', so may not be understood by the terminology ecosystem. Known properties for this system: concept,constraint,expressions,inactive,410662002,42752001,47429007,116676008,116686009,118168003,118169006,118170007,118171006,127489000,131195008,246075003,246090004,246093002,246112005,246454002,246456000,246501002,246513007,246514001,255234002,260507000,260686004,260870009,263502005,272741003,288556008,363589002,363698007,363699004,363700003,363701004,363702006,363703001,363704007,363705008,363709002,363710007,363713009,363714003,370129005,370130000,370131001,370132008,370133003,370134009,370135005,371881003,405813007,405814001,405815000,405816004,408729009,408730004,408731000,408732007,410675002,411116001,418775008,419066007,424226004,424244007,424361007,424876005,425391005,609096000,704319004,704320005,704321009,704322002,704323007,704324001,704325000,704326004,704327008,704346009,704347000,704647008,718497002,719715003,719722006,726542003,726633004,732943007,732945000,732947008,733722007,733725009,733928003,733930001,733931002,733932009,733933004,734136001,734137005,736472000,736473005,736474004,736475003,736476002,736518005,738774007,762705008,762706009,762949000,762951001,763032000,766939001,774081006,774158006,774159003,774160008,774163005,827081001,836358009,840560000,860779006,860781008,1003703000,1003735000,1142135004,1142136003,1142137007,1142138002,1142139005,1142140007,1142141006,1142142004,1142143009,1148793005,1148965004,1148967007,1148968002,1148969005,1149366004,1149367008,1230370004,320091000221107"
            },
            "expression": [
              "ValueSet/R4B-nutrition-product-nutrient-for-R5: ValueSet.compose.include[0].filter[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: The filter \"parent = 226355009\" from the value set http://hl7.org/fhir/4.3/ValueSet/R4B-nutrition-product-nutrient-for-R5 was not understood in the context of http://snomed.info/sct (3)"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-nutrition-product-nutrient-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-object-lifecycle-events-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-object-lifecycle-events-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30420
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-object-lifecycle-events-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-observation-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-observation-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-observation-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-observation-methods-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-observation-methods-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-observation-methods-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-package-characteristic-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-package-characteristic-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-package-characteristic-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-parent-relationship-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-parent-relationship-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-parent-relationship-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-participantrequired-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-participantrequired-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4065
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-participantrequired-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-participation-role-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-participation-role-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/extra-security-role-type'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 1.0.1, 4.3.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/extra-security-role-type' to 'http://terminology.hl7.org/CodeSystem/extra-security-role-type|4.3.0'"
            },
            "expression": [
              "ValueSet/R4B-participation-role-type-for-R5: ValueSet.compose.include[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-performer-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-performer-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2129
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-performer-role-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-postal-address-use-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-postal-address-use-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3337
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-postal-address-use-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-prepare-patient-prior-specimen-collection-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-prepare-patient-prior-specimen-collection-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2335
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-prepare-patient-prior-specimen-collection-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-procedure-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-procedure-code-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-followup-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-followup-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-procedure-followup-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-not-performed-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-not-performed-reason-for-R5",
        "issue": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
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                "valueInteger": 4122
              },
              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('416064006')"
            },
            "expression": [
              "ValueSet/R4B-procedure-not-performed-reason-for-R5: ValueSet.compose.include[4].filter[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('183944003')"
            },
            "expression": [
              "ValueSet/R4B-procedure-not-performed-reason-for-R5: ValueSet.compose.include[6].filter[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-outcome-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-outcome-for-R5",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-procedure-outcome-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-progress-status-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-progress-status-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-procedure-progress-status-codes-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-procedure-reason-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-procedure-reason-for-R5",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-procedure-reason-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-product-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-product-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-product-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-product-storage-scale-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-product-storage-scale-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3859
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-product-storage-scale-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-provenance-activity-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-provenance-activity-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58245
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-provenance-activity-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-provenance-entity-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-provenance-entity-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'sec' means that the publisher should be 'HL7 International / Security' but 'Security' was found"
            },
            "expression": [
              "ValueSet/R4B-provenance-entity-role-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-provenance-participant-role-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-provenance-participant-role-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fm' means that the publisher should be 'HL7 International / Financial Management' but 'Financial Management' was found"
            },
            "expression": [
              "ValueSet/R4B-provenance-participant-role-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-provider-taxonomy-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-provider-taxonomy-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-publication-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-publication-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-publication-status-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-quality-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-quality-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3566
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4B-quality-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-questionnaire-answers-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-questionnaire-answers-for-R5",
        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-questionnaire-answers-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-questionnaire-display-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-questionnaire-display-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-questionnaire-display-category-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-questionnaire-item-control-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-questionnaire-item-control-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-questionnaire-item-control-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-questionnaire-questions-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-questionnaire-questions-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-questionnaire-questions-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-questionnaireresponse-mode-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-questionnaireresponse-mode-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-questionnaireresponse-mode-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-reason-medication-not-given-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-reason-medication-not-given-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-reason-medication-not-given-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-reason-medication-status-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-reason-medication-status-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2559
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'phx' means that the publisher should be 'HL7 International / Pharmacy' but 'Pharmacy' was found"
            },
            "expression": [
              "ValueSet/R4B-reason-medication-status-codes-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_BAD_FILTER_VALUE_VALID_CODE_INACTIVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The code for the filter 'concept' is inactive ('410684002')"
            },
            "expression": [
              "ValueSet/R4B-reason-medication-status-codes-for-R5: ValueSet.compose.include[1].filter[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-referencerange-appliesto-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-referencerange-appliesto-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-referencerange-appliesto-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-relatedperson-relationshiptype-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-relatedperson-relationshiptype-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pa' means that the publisher should be 'HL7 International / Patient Administration' but 'Patient Administration' was found"
            },
            "expression": [
              "ValueSet/R4B-relatedperson-relationshiptype-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-relation-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-relation-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-relation-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-report-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-report-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-report-codes-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-repository-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-repository-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4B-repository-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-request-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-request-resource-types-for-R5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-research-element-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-research-element-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-research-element-type-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-research-study-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-research-study-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9218
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-research-study-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-research-subject-status-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-research-subject-status-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'brr' means that the publisher should be 'HL7 International / Biomedical Research and Regulation' but 'Biomedical Research and Regulation' was found"
            },
            "expression": [
              "ValueSet/R4B-research-subject-status-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-resource-types-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-resource-types-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7930
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-resource-types-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-route-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-route-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2115
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-route-codes-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-search-modifier-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-search-modifier-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-search-xpath-usage-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-search-xpath-usage-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3874
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
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            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-search-xpath-usage-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-secondary-finding-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-secondary-finding-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-secondary-finding-for-R5: ValueSet"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-security-labels-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-security-labels-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
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            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification'"
            },
            "expression": [
              "ValueSet/R4B-security-labels-for-R5: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_REFERENCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The value set import http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification could not be found so cannot be checked"
            },
            "expression": [
              "ValueSet/R4B-security-labels-for-R5: ValueSet.compose.include[0].valueSet[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to find included value set 'http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification'"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-security-labels-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-security-role-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-security-role-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36648
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/extra-security-role-type'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '4.3.0', found versions: 1.0.1, 4.3.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/extra-security-role-type' to 'http://terminology.hl7.org/CodeSystem/extra-security-role-type|4.3.0'"
            },
            "expression": [
              "ValueSet/R4B-security-role-type-for-R5: ValueSet.compose.include[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-sequence-quality-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-sequence-quality-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://precision.fda.gov/apps/'"
            },
            "expression": [
              "ValueSet/R4B-sequence-quality-method-for-R5: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://precision.fda.gov/jobs/'"
            },
            "expression": [
              "ValueSet/R4B-sequence-quality-method-for-R5: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2247
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4B-sequence-quality-method-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: Unable to provide support for code system https://precision.fda.gov/apps/"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-sequence-quality-method-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-sequence-quality-standardSequence-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-sequence-quality-standardSequence-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2131
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://precision.fda.gov/files/'"
            },
            "expression": [
              "ValueSet/R4B-sequence-quality-standardSequence-for-R5: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2135
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4B-sequence-quality-standardSequence-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: Unable to provide support for code system https://precision.fda.gov/files/"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-sequence-quality-standardSequence-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-sequence-referenceSeq-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-sequence-referenceSeq-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.ensembl.org'"
            },
            "expression": [
              "ValueSet/R4B-sequence-referenceSeq-for-R5: ValueSet.compose.include[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://www.ncbi.nlm.nih.gov/nuccore'"
            },
            "expression": [
              "ValueSet/R4B-sequence-referenceSeq-for-R5: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cg' means that the publisher should be 'HL7 International / Clinical Genomics' but 'Clinical Genomics' was found"
            },
            "expression": [
              "ValueSet/R4B-sequence-referenceSeq-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r5: Unable to provide support for code system http://www.ensembl.org"
            },
            "expression": [
              "ValueSet.where(id = 'R4B-sequence-referenceSeq-for-R5')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-servicerequest-category-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-servicerequest-category-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2946
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-servicerequest-category-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-servicerequest-orderdetail-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-servicerequest-orderdetail-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3560
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-servicerequest-orderdetail-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-sibling-relationship-codes-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-sibling-relationship-codes-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pc' means that the publisher should be 'HL7 International / Patient Care' but 'Patient Care' was found"
            },
            "expression": [
              "ValueSet/R4B-sibling-relationship-codes-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-specimen-collection-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-specimen-collection-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3829
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-specimen-collection-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-specimen-collection-method-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-specimen-collection-method-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3887
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-specimen-collection-method-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-specimen-collection-priority-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-specimen-collection-priority-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-specimen-collection-priority-for-R5: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING_VER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System/Version 'http://example.com#4.3.0' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'http://example.com' version '4.3.0' could not be found, so the code cannot be validated. No versions of this code system are known)"
            },
            "expression": [
              "ValueSet/R4B-specimen-collection-priority-for-R5: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-specimen-container-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-specimen-container-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
              "ValueSet/R4B-specimen-container-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-specimen-processing-procedure-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-specimen-processing-procedure-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'oo' means that the publisher should be 'HL7 International / Orders and Observations' but 'Orders and Observations' was found"
            },
            "expression": [
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            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-v3-LoincDocumentOntologyInternational-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-vaccine-code-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-vaccine-code-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2230
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'pher' means that the publisher should be 'HL7 International / Public Health' but 'Public Health' was found"
            },
            "expression": [
              "ValueSet/R4B-vaccine-code-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-variable-type-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-variable-type-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'cds' means that the publisher should be 'HL7 International / Clinical Decision Support' but 'Clinical Decision Support' was found"
            },
            "expression": [
              "ValueSet/R4B-variable-type-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-R4B-written-language-for-R5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-R4B-written-language-for-R5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9620
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_PUBLISHER_MISMATCH"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The nominated WG 'fhir' means that the publisher should be 'HL7 International / FHIR Infrastructure' but 'FHIR Infrastructure' was found"
            },
            "expression": [
              "ValueSet/R4B-written-language-for-R5: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/4.3/OperationOutcome/ValueSet-designation-usage",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-designation-usage"
      }
    }
  ]
}